Joshua Eubanks, M.D.
Allergy & Immunology Physician · Houston, TX 77014 · NPI 1659794279
109%of Medicare
BCBSTX pays Joshua Eubanks, M.D. $104.90 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 allergy & immunology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $104.90 | $96.33 | 109% | above 89% of 29 Houston allergy & immunology physicians |
| 99214Office visit, established patient, moderate complexity | $161.73 | $137.41 | 118% | above 96% of 29 Houston allergy & immunology physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 77067Screening mammography, bilateral | $100.99 | $126.38 | 80% | not typically billed by allergy & immunology 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 Joshua Eubanks, M.D. performs these services, and they are kept out of the benchmark above.