Myrtle Jeroudi, M.D.
Neurology Physician · Houston, TX 77035 · NPI 1588922975
82%of Medicare
BCBSTX pays Myrtle Jeroudi, M.D. $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 neurology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $78.91 | $96.33 | 82% | above 76% of 202 Houston neurology physicians |
| 99214Office visit, established patient, moderate complexity | $115.60 | $137.41 | 84% | above 59% of 202 Houston neurology physicians |
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 neurology physicians |
| 72148MRI lumbar spine, without contrast | $54.11 | $192.38 | 28% | not typically billed by neurology 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 Myrtle Jeroudi, M.D. performs these services, and they are kept out of the benchmark above.