Jayavani Moodley, M.D.
Hospitalist Physician · Houston, TX 77074 · NPI 1215101464
84%of Medicare
BCBSTX pays Jayavani Moodley, M.D. $80.69 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 hospitalist physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $80.69 | $96.33 | 84% | above 75% of 334 Houston hospitalist physicians |
| 99214Office visit, established patient, moderate complexity | $118.20 | $137.41 | 86% | above 53% of 334 Houston hospitalist physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $88.84 | $317.92 | 28% | not typically billed by hospitalist physicians |
| 72148MRI lumbar spine, without contrast | $159.58 | $192.38 | 83% | not typically billed by hospitalist physicians |
| 74177CT abdomen and pelvis, with contrast | $70.74 | $300.72 | 24% | not typically billed by hospitalist physicians |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by hospitalist 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 Jayavani Moodley, M.D. performs these services, and they are kept out of the benchmark above.