PayerParity

Melissa Carbajal, M.D.

Neonatal-Perinatal Medicine Physician · Houston, TX 77079 · NPI 1700111036

64%of Medicare

BCBSTX pays Melissa Carbajal, M.D. $61.45 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

ServiceBCBSTXMedicare% of MedicareAmong Houston neonatal-perinatal medicine physicians
99213Office visit, established patient, low complexity$61.45$96.3364%

above 27% of 167 Houston neonatal-perinatal medicine physicians

99214Office visit, established patient, moderate complexity$130.73$137.4195%

above 44% of 167 Houston neonatal-perinatal medicine physicians

Source. Blue Cross Blue Shield of Texas machine-readable file, June 2026, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code; falls back to all Houston clinicians where the specialty cohort is under ten.

Built 2026-09-03 · PayerParity