Laura Moore, MD
Surgical Critical Care Physician · Houston, TX 77030 · NPI 1295767374
95%of Medicare
BCBSTX pays Laura Moore, MD $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
| Service | BCBSTX | Medicare | % of Medicare | Among Houston surgical critical care physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $91.45 | $96.33 | 95% | above 82% of 18 Houston surgical critical care physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 6% of 18 Houston surgical critical care 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 surgical critical care physicians |
| 72148MRI lumbar spine, without contrast | $159.58 | $192.38 | 83% | not typically billed by surgical critical care physicians |
| 74177CT abdomen and pelvis, with contrast | $70.74 | $300.72 | 24% | not typically billed by surgical critical care physicians |
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by surgical critical care 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 Laura Moore, MD performs these services, and they are kept out of the benchmark above.