Ranier Reyes
Neurocritical Care Physician · Houston, TX 77054 · NPI 1043637333
84%of Medicare
BCBSTX pays Ranier Reyes $80.69 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 neurocritical care physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $80.69 | $96.33 | 84% | above 60% of 16 Houston neurocritical care physicians |
| 99214Office visit, established patient, moderate complexity | $118.20 | $137.41 | 86% | above 27% of 16 Houston neurocritical care physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 74177CT abdomen and pelvis, with contrast | $77.04 | $300.72 | 26% | not typically billed by neurocritical care physicians |
| 77067Screening mammography, bilateral | $32.25 | $126.38 | 26% | not typically billed by neurocritical care 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 Ranier Reyes performs these services, and they are kept out of the benchmark above.