Aikaterini Anagnostou, MD PHD
Pediatric Allergy/Immunology Physician · Houston, TX 77030 · NPI 1699218560
121%of Medicare
BCBSTX pays Aikaterini Anagnostou, MD PHD $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 pediatric allergy/immunology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $116.53 | $96.33 | 121% | above 58% of 13 Houston pediatric allergy/immunology physicians |
| 99214Office visit, established patient, moderate complexity | $123.69 | $137.41 | 90% | above 25% of 13 Houston pediatric allergy/immunology 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 pediatric allergy/immunology physicians |
| 72148MRI lumbar spine, without contrast | $159.58 | $192.38 | 83% | not typically billed by pediatric allergy/immunology physicians |
| 74177CT abdomen and pelvis, with contrast | $70.74 | $300.72 | 24% | not typically billed by pediatric allergy/immunology physicians |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by pediatric allergy/immunology 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 Aikaterini Anagnostou, MD PHD performs these services, and they are kept out of the benchmark above.