PayerParity

Jonathan Shum, MD, DDS

Oral & Maxillofacial Surgery (D.M.D.) · Houston, TX 77030 · NPI 1518110329

95%of Medicare

BCBSTX pays Jonathan Shum, MD, DDS $91.45 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 oral & maxillofacial surgery (d.m.d.)s
99213Office visit, established patient, low complexity$91.45$96.3395%

above 73% of 24,819 all Houston clinicians

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

above 80% of 24,759 all Houston clinicians

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