Ralph Casazza, PH.D.
Health Service Psychologist · Houston, TX 77042 · NPI 1851394381
67%of Medicare
BCBSTX pays Ralph Casazza, PH.D. $64.09 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 health service psychologists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $64.09 | $96.33 | 67% | above 63% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $94.02 | $137.41 | 68% | above 66% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $27.87 | $126.38 | 22% | not typically billed by health service 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 Ralph Casazza, PH.D. performs these services, and they are kept out of the benchmark above.