Samir Fahed, M.D.
Interventional Pain Medicine Physician · Houston, TX 77031 · NPI 1063698645
54%of Medicare
BCBSTX pays Samir Fahed, 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 interventional pain medicine physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $51.98 | $96.33 | 54% | above 4% of 25 Houston interventional pain medicine physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 4% of 25 Houston interventional pain medicine physicians |
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 interventional pain medicine physicians |
| 72148MRI lumbar spine, without contrast | $159.58 | $192.38 | 83% | not typically billed by interventional pain medicine physicians |
| 74177CT abdomen and pelvis, with contrast | $70.74 | $300.72 | 24% | not typically billed by interventional pain medicine 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 Samir Fahed, M.D. performs these services, and they are kept out of the benchmark above.