Xavier Ferrell, DC
Sports Physician Chiropractor · Houston, TX 77058 · NPI 1063370476
29%of Medicare
BCBSTX pays Xavier Ferrell, DC $28.20 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 sports physician chiropractors |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $28.20 | $96.33 | 29% | above 0% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $59.99 | $137.41 | 44% | above 11% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $252.85 | $317.92 | 80% | not typically billed by sports physician chiropractors |
| 72148MRI lumbar spine, without contrast | $151.55 | $192.38 | 79% | not typically billed by sports physician chiropractors |
| 77067Screening mammography, bilateral | $28.12 | $126.38 | 22% | not typically billed by sports physician chiropractors |
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 Xavier Ferrell, DC performs these services, and they are kept out of the benchmark above.