PayerParity

Heather Derousse, LCSW

Clinical Social Worker · Houston, TX 77030 · NPI 1386329803

134%of Medicare

BCBSTX pays Heather Derousse, LCSW $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 clinical social workers
99213Office visit, established patient, low complexity$129.07$96.33134%

above 100% of 774 Houston clinical social workers

99214Office visit, established patient, moderate complexity$189.08$137.41138%

above 100% of 774 Houston clinical social workers

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