Barbara Abrams, ED.D.
Psychologist · Houston, TX 77057 · NPI 1326195793
46%of Medicare
BCBSTX pays Barbara Abrams, ED.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 psychologists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $44.20 | $96.33 | 46% | above 3% of 127 Houston psychologists |
| 99214Office visit, established patient, moderate complexity | $94.02 | $137.41 | 68% | above 16% of 127 Houston psychologists |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $25.17 | $126.38 | 20% | not typically billed by psychologists |
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 Barbara Abrams, ED.D. performs these services, and they are kept out of the benchmark above.