Nader Massarweh, MD MPH
Surgical Oncology Physician · Houston, TX 77030 · NPI 1619086436
54%of Medicare
BCBSTX pays Nader Massarweh, MD MPH $51.98 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 surgical oncology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $51.98 | $96.33 | 54% | above 9% of 55 Houston surgical oncology physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 6% of 55 Houston surgical oncology physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $88.84 | $317.92 | 28% | not typically billed by surgical oncology physicians |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by surgical oncology 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 Nader Massarweh, MD MPH performs these services, and they are kept out of the benchmark above.