Janet LI, M.D.
MOHS-Micrographic Surgery Physician · Houston, TX 77089 · NPI 1609212158
58%of Medicare
BCBSTX pays Janet LI, M.D. $55.78 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 mohs-micrographic surgery physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $55.78 | $96.33 | 58% | above 65% of 18 Houston mohs-micrographic surgery physicians |
| 99214Office visit, established patient, moderate complexity | $118.20 | $137.41 | 86% | above 94% of 18 Houston mohs-micrographic surgery physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $29.61 | $126.38 | 23% | not typically billed by mohs-micrographic surgery 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 Janet LI, M.D. performs these services, and they are kept out of the benchmark above.