Deborah Pearson, PH.D.
Clinical Neuropsychologist · Houston, TX 77030 · NPI 1316965544
46%of Medicare
BCBSTX pays Deborah Pearson, PH.D. $44.20 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 clinical neuropsychologists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $44.20 | $96.33 | 46% | above 0% of 40 Houston clinical neuropsychologists |
| 99214Office visit, established patient, moderate complexity | $94.02 | $137.41 | 68% | above 5% of 40 Houston clinical neuropsychologists |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $25.17 | $126.38 | 20% | not typically billed by clinical neuropsychologists |
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 Deborah Pearson, PH.D. performs these services, and they are kept out of the benchmark above.