Timothy Fisher, DPM
Foot & Ankle Surgery Podiatrist · Houston, TX 77450 · NPI 1184871576
54%of Medicare
BCBSTX pays Timothy Fisher, DPM $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 foot & ankle surgery podiatrists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $51.98 | $96.33 | 54% | above 9% of 48 Houston foot & ankle surgery podiatrists |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 4% of 48 Houston foot & ankle surgery podiatrists |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 72148MRI lumbar spine, without contrast | $159.58 | $192.38 | 83% | not typically billed by foot & ankle surgery podiatrists |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by foot & ankle surgery podiatrists |
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 Timothy Fisher, DPM performs these services, and they are kept out of the benchmark above.