Staci Ouch
Counseling Psychologist · Houston, TX 77014 · NPI 1700648342
46%of Medicare
BCBSTX pays Staci Ouch $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 counseling psychologists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $44.20 | $96.33 | 46% | above 7% of 15 Houston counseling psychologists |
| 99214Office visit, established patient, moderate complexity | $72.79 | $137.41 | 53% | above 7% of 15 Houston counseling psychologists |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $25.17 | $126.38 | 20% | not typically billed by counseling psychologists |
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 Staci Ouch performs these services, and they are kept out of the benchmark above.