Akhil Shenoy, MD
Endocrinology, Diabetes & Metabolism Physician · Houston, TX 77024 · NPI 1053799064
53%of Medicare
BCBSTX pays Akhil Shenoy, MD $50.62 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 endocrinology, diabetes & metabolism physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $50.62 | $96.33 | 53% | above 0% of 124 Houston endocrinology, diabetes & metabolism physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 2% of 124 Houston endocrinology, diabetes & metabolism physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $96.65 | $317.92 | 30% | not typically billed by endocrinology, diabetes & metabolism physicians |
| 72148MRI lumbar spine, without contrast | $169.83 | $192.38 | 88% | not typically billed by endocrinology, diabetes & metabolism physicians |
| 74177CT abdomen and pelvis, with contrast | $70.74 | $300.72 | 24% | not typically billed by endocrinology, diabetes & metabolism physicians |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by endocrinology, diabetes & metabolism 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 Akhil Shenoy, MD performs these services, and they are kept out of the benchmark above.