Ketan Koranne, MD
Clinical Cardiac Electrophysiology Physician · Houston, TX 77070 · NPI 1326394925
69%of Medicare
BCBSTX pays Ketan Koranne, MD $66.02 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 cardiac electrophysiology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $66.02 | $96.33 | 69% | above 45% of 41 Houston clinical cardiac electrophysiology physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 0% of 41 Houston clinical cardiac electrophysiology physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $161.89 | $126.38 | 128% | not typically billed by clinical cardiac electrophysiology 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 Ketan Koranne, MD performs these services, and they are kept out of the benchmark above.