Ashlie Llorens, PHD
Mental Health Counselor · Houston, TX 77030 · NPI 1700261757
46%of Medicare
BCBSTX pays Ashlie Llorens, PHD $44.20 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 mental health counselors |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $44.20 | $96.33 | 46% | above 99% of 396 Houston mental health counselors |
| 99214Office visit, established patient, moderate complexity | $94.02 | $137.41 | 68% | above 99% of 396 Houston mental health counselors |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $25.17 | $126.38 | 20% | not typically billed by mental health counselors |
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 Ashlie Llorens, PHD performs these services, and they are kept out of the benchmark above.