Orlando Diaz, M.D.
Vascular & Interventional Radiology Physician · Houston, TX 77018 · NPI 1861453417
60%of Medicare
BCBSTX pays Orlando Diaz, M.D. $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 vascular & interventional radiology physicians |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $190.74 | $317.92 | 60% | above 57% of 84 Houston vascular & interventional radiology physicians |
| 72148MRI lumbar spine, without contrast | $123.04 | $192.38 | 64% | above 57% of 80 Houston vascular & interventional radiology physicians |
| 74177CT abdomen and pelvis, with contrast | $113.29 | $300.72 | 38% | above 2% of 84 Houston vascular & interventional radiology physicians |
| 77067Screening mammography, bilateral | $47.42 | $126.38 | 38% | above 16% of 82 Houston vascular & interventional radiology physicians |
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 vascular & interventional radiology physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | not typically billed by vascular & interventional 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 Orlando Diaz, M.D. performs these services, and they are kept out of the benchmark above.