Megan Craddock, MD
Pediatric Dermatology Physician · Houston, TX 77030 · NPI 1124318720
109%of Medicare
BCBSTX pays Megan Craddock, 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 pediatric dermatology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $104.90 | $96.33 | 109% | above 78% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $161.73 | $137.41 | 118% | above 88% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $100.99 | $126.38 | 80% | not typically billed by pediatric dermatology 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 Megan Craddock, MD performs these services, and they are kept out of the benchmark above.