Jason Huse, M.D., PH.D.
Neuropathology Physician · Houston, TX 77030 · NPI 1174771109
134%of Medicare
BCBSTX pays Jason Huse, M.D., PH.D. $129.07 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 neuropathology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $129.07 | $96.33 | 134% | above 84% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $189.08 | $137.41 | 138% | above 90% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $157.20 | $317.92 | 49% | not typically billed by neuropathology physicians |
| 74177CT abdomen and pelvis, with contrast | $125.18 | $300.72 | 42% | not typically billed by neuropathology physicians |
| 77067Screening mammography, bilateral | $186.80 | $126.38 | 148% | not typically billed by neuropathology 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 Jason Huse, M.D., PH.D. performs these services, and they are kept out of the benchmark above.