George Scott, PHD
Rehabilitation Psychologist · Houston, TX 77046 · NPI 1538944863
46%of Medicare
BCBSTX pays George Scott, PHD $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 rehabilitation psychologists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $44.20 | $96.33 | 46% | above 35% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $94.02 | $137.41 | 68% | above 66% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $25.17 | $126.38 | 20% | not typically billed by rehabilitation 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 George Scott, PHD performs these services, and they are kept out of the benchmark above.