Chinetra Cook, PT, DPT
Orthopedic Physical Therapist · Houston, TX 77007 · NPI 1255730933
44%of Medicare
BCBSTX pays Chinetra Cook, PT, DPT $42.66 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 orthopedic physical therapists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $42.66 | $96.33 | 44% | above 0% of 27 Houston orthopedic physical therapists |
| 99214Office visit, established patient, moderate complexity | $65.75 | $137.41 | 48% | above 0% of 27 Houston orthopedic physical therapists |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $252.85 | $317.92 | 80% | not typically billed by orthopedic physical therapists |
| 72148MRI lumbar spine, without contrast | $151.55 | $192.38 | 79% | not typically billed by orthopedic physical therapists |
| 74177CT abdomen and pelvis, with contrast | $239.31 | $300.72 | 80% | not typically billed by orthopedic physical therapists |
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 Chinetra Cook, PT, DPT performs these services, and they are kept out of the benchmark above.