Michele York, PH.D
Clinical Neuropsychologist · Houston, TX 77030 · NPI 1063508364
64%of Medicare
BCBSTX pays Michele York, PH.D $61.45 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 clinical neuropsychologists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $61.45 | $96.33 | 64% | above 87% of 40 Houston clinical neuropsychologists |
| 99214Office visit, established patient, moderate complexity | $130.73 | $137.41 | 95% | above 92% of 40 Houston clinical neuropsychologists |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by clinical neuropsychologists |
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 Michele York, PH.D performs these services, and they are kept out of the benchmark above.