Ajay Thomas, M.D., PH.D.
Epilepsy Physician · Houston, TX 77030 · NPI 1659803765
121%of Medicare
BCBSTX pays Ajay Thomas, M.D., PH.D. $116.53 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 epilepsy physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $116.53 | $96.33 | 121% | above 17% of 24 Houston epilepsy physicians |
| 99214Office visit, established patient, moderate complexity | $123.69 | $137.41 | 90% | above 9% of 24 Houston epilepsy physicians |
