PayerParity

Paul Hillman, MD/PHD

Clinical Genetics (M.D.) Physician · Houston, TX 77030 · NPI 1124405311

95%of Medicare

BCBSTX pays Paul Hillman, MD/PHD $91.45 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

ServiceBCBSTXMedicare% of MedicareAmong Houston clinical genetics (m.d.) physicians
99213Office visit, established patient, low complexity$91.45$96.3395%

above 93% of 16 Houston clinical genetics (m.d.) physicians

99214Office visit, established patient, moderate complexity$80.13$137.4158%

above 7% of 16 Houston clinical genetics (m.d.) physicians

Source. Blue Cross Blue Shield of Texas machine-readable file, June 2026, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code; falls back to all Houston clinicians where the specialty cohort is under ten.

Built 2026-09-03 · PayerParity