Anthony Brissett, M.D.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Houston, TX 77030 · NPI 1033113014
54%of Medicare
BCBSTX pays Anthony Brissett, M.D. $51.98 for a 99213 — Office visit, established patient, low complexity. Medicare pays $96.33 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare.
Negotiated rates vs Medicare
| Service | BCBSTX | Medicare | % of Medicare | Among Houston plastic surgery within the head & neck (otolaryngology) physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $51.98 | $96.33 | 54% | above 39% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 26% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $88.84 | $317.92 | 28% | not typically billed by plastic surgery within the head & neck (otolaryngology) physicians |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by plastic surgery within the head & neck (otolaryngology) physicians |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Anthony Brissett, M.D. performs these services, and they are kept out of the benchmark above.