Joyce Varkey, M.D.
Student in an Organized Health Care Education/Training Program · Houston, TX 77030 · NPI 1588078976
121%of Medicare
BCBSTX pays Joyce Varkey, M.D. $116.53 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 student in an organized health care education/training programs |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $116.53 | $96.33 | 121% | above 85% of 63 Houston student in an organized health care education/training programs |
| 99214Office visit, established patient, moderate complexity | $123.69 | $137.41 | 90% | above 69% of 63 Houston student in an organized health care education/training programs |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 74177CT abdomen and pelvis, with contrast | $70.74 | $300.72 | 24% | not typically billed by student in an organized health care education/training programs |
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 Joyce Varkey, M.D. performs these services, and they are kept out of the benchmark above.