Stephen Chun, M.D.
Radiation Oncology Physician · Houston, TX 77030 · NPI 1659682656
49%of Medicare
BCBSTX pays Stephen Chun, M.D. $157.20 for a 70553 — MRI brain, with and without contrast. Medicare pays $317.92 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 radiation oncology physicians |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $157.20 | $317.92 | 49% | above 5% of 129 Houston radiation oncology physicians |
| 72148MRI lumbar spine, without contrast | $101.41 | $192.38 | 53% | above 5% of 129 Houston radiation oncology physicians |
| 74177CT abdomen and pelvis, with contrast | $125.18 | $300.72 | 42% | above 27% of 129 Houston radiation oncology physicians |
| 77067Screening mammography, bilateral | $186.80 | $126.38 | 148% | above 48% of 129 Houston radiation oncology physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $129.07 | $96.33 | 134% | not typically billed by radiation oncology physicians |
| 99214Office visit, established patient, moderate complexity | $189.08 | $137.41 | 138% | not typically billed by radiation 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 Stephen Chun, M.D. performs these services, and they are kept out of the benchmark above.