Melisa Magray, NNP
Neonatal-Perinatal Medicine Physician · Houston, TX 77030 · NPI 1760058887
46%of Medicare
BCBSTX pays Melisa Magray, NNP $44.19 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 neonatal-perinatal medicine physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $44.19 | $96.33 | 46% | above 0% of 167 Houston neonatal-perinatal medicine physicians |
| 99214Office visit, established patient, moderate complexity | $94.00 | $137.41 | 68% | above 25% of 167 Houston neonatal-perinatal medicine physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $226.31 | $317.92 | 71% | not typically billed by neonatal-perinatal medicine physicians |
| 72148MRI lumbar spine, without contrast | $135.65 | $192.38 | 71% | not typically billed by neonatal-perinatal medicine physicians |
| 74177CT abdomen and pelvis, with contrast | $60.13 | $300.72 | 20% | not typically billed by neonatal-perinatal medicine physicians |
| 77067Screening mammography, bilateral | $25.17 | $126.38 | 20% | not typically billed by neonatal-perinatal medicine 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 Melisa Magray, NNP performs these services, and they are kept out of the benchmark above.