Juliann TEA, MD
Psychosomatic Medicine Physician · Houston, TX 77030 · NPI 1568966513
82%of Medicare
BCBSTX pays Juliann TEA, MD $78.91 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 psychosomatic medicine physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $78.91 | $96.33 | 82% | above 71% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $115.60 | $137.41 | 84% | above 70% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $251.39 | $317.92 | 79% | not typically billed by psychosomatic medicine physicians |
| 72148MRI lumbar spine, without contrast | $54.11 | $192.38 | 28% | not typically billed by psychosomatic medicine 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 Juliann TEA, MD performs these services, and they are kept out of the benchmark above.