Shreya Aggarwal
Mental Health Counselor · Houston, TX 77041 · NPI 1811868946
62%of Medicare
BCBSTX pays Shreya Aggarwal $59.85 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 | $59.85 | $96.33 | 62% | above 99% of 396 Houston mental health counselors |
| 99214Office visit, established patient, moderate complexity | $46.97 | $137.41 | 34% | above 0% of 396 Houston mental health counselors |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $83.64 | $317.92 | 26% | not typically billed by mental health counselors |
| 72148MRI lumbar spine, without contrast | $150.24 | $192.38 | 78% | not typically billed by mental health counselors |
| 74177CT abdomen and pelvis, with contrast | $237.24 | $300.72 | 79% | not typically billed by mental health counselors |
| 77067Screening mammography, bilateral | $99.39 | $126.38 | 79% | 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 Shreya Aggarwal performs these services, and they are kept out of the benchmark above.