Eugene Alford, MD
Otolaryngology/Facial Plastic Surgery Physician · Houston, TX 77030 · NPI 1093700387
63%of Medicare
BCBSTX pays Eugene Alford, MD $60.95 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 otolaryngology/facial plastic surgery physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $60.95 | $96.33 | 63% | above 58% 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 otolaryngology/facial plastic surgery physicians |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by otolaryngology/facial plastic surgery 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 Eugene Alford, MD performs these services, and they are kept out of the benchmark above.