PayerParity

Monisha Shah, MD

Pediatric Gastroenterology Physician · Houston, TX 77030 · NPI 1336526037

134%of Medicare

BCBSTX pays Monisha Shah, MD $129.07 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

ServiceBCBSTXMedicare% of MedicareAmong Houston pediatric gastroenterology physicians
99213Office visit, established patient, low complexity$129.07$96.33134%

above 80% of 41 Houston pediatric gastroenterology physicians

99214Office visit, established patient, moderate complexity$133.97$137.4197%

above 78% of 41 Houston pediatric gastroenterology physicians

Source. Blue Cross Blue Shield of Texas machine-readable file, June 2026, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code; falls back to all Houston clinicians where the specialty cohort is under ten.

Built 2026-09-03 · PayerParity