Padmavathi Karri, MD
Internal Medicine Physician · Houston, TX 77030 · NPI 1023690427
109%of Medicare
BCBSTX pays Padmavathi Karri, MD $104.90 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 internal medicine physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $104.90 | $96.33 | 109% | above 80% of 1,057 Houston internal medicine physicians |
| 99214Office visit, established patient, moderate complexity | $161.73 | $137.41 | 118% | above 85% of 1,057 Houston internal medicine physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $100.99 | $126.38 | 80% | not typically billed by internal 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 Padmavathi Karri, MD performs these services, and they are kept out of the benchmark above.