Anayda Chavez, NP
Primary Care Nurse Practitioner · Houston, TX 77008 · NPI 1306533252
74%of Medicare
BCBSTX pays Anayda Chavez, NP $71.26 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 primary care nurse practitioners |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $71.26 | $96.33 | 74% | above 56% of 46 Houston primary care nurse practitioners |
| 99214Office visit, established patient, moderate complexity | $104.39 | $137.41 | 76% | above 59% of 45 Houston primary care nurse practitioners |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $226.31 | $317.92 | 71% | not typically billed by primary care nurse practitioners |
| 72148MRI lumbar spine, without contrast | $135.65 | $192.38 | 71% | not typically billed by primary care nurse practitioners |
| 74177CT abdomen and pelvis, with contrast | $60.13 | $300.72 | 20% | not typically billed by primary care nurse practitioners |
| 77067Screening mammography, bilateral | $25.17 | $126.38 | 20% | not typically billed by primary care nurse practitioners |
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 Anayda Chavez, NP performs these services, and they are kept out of the benchmark above.