Mark Brodie, MD
Therapeutic Radiology Physician · Houston, TX 77018 · NPI 1700857679
60%of Medicare
BCBSTX pays Mark Brodie, MD $190.74 for a 70553 — MRI brain, with and without contrast. Medicare pays $317.92 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 therapeutic radiology physicians |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $190.74 | $317.92 | 60% | above 60% of 17,053 all Houston clinicians |
| 72148MRI lumbar spine, without contrast | $123.04 | $192.38 | 64% | above 22% of 17,608 all Houston clinicians |
| 74177CT abdomen and pelvis, with contrast | $113.29 | $300.72 | 38% | above 63% of 18,157 all Houston clinicians |
| 77067Screening mammography, bilateral | $47.42 | $126.38 | 38% | above 66% of 18,167 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $134.22 | $96.33 | 139% | not typically billed by therapeutic radiology physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | not typically billed by therapeutic radiology 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 Mark Brodie, MD performs these services, and they are kept out of the benchmark above.