Suhair AL Salihi
Clinical Pathology Physician · Houston, TX 77054 · NPI 1376954552
69%of Medicare
BCBSTX pays Suhair AL Salihi $66.02 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 pathology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $66.02 | $96.33 | 69% | above 22% of 10 Houston clinical pathology physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 0% of 10 Houston clinical pathology physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $136.24 | $317.92 | 43% | not typically billed by clinical pathology physicians |
| 74177CT abdomen and pelvis, with contrast | $113.29 | $300.72 | 38% | not typically billed by clinical pathology physicians |
| 77067Screening mammography, bilateral | $161.89 | $126.38 | 128% | not typically billed by clinical pathology physicians |
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 Suhair AL Salihi performs these services, and they are kept out of the benchmark above.