Marie Morales, RD, CDCES, BC-ADM
Registered Dietitian · Houston, TX 77043 · NPI 1669162871
44%of Medicare
BCBSTX pays Marie Morales, RD, CDCES, BC-ADM $42.66 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 registered dietitians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $42.66 | $96.33 | 44% | above 0% of 174 Houston registered dietitians |
| 99214Office visit, established patient, moderate complexity | $65.75 | $137.41 | 48% | above 0% of 174 Houston registered dietitians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 74177CT abdomen and pelvis, with contrast | $239.31 | $300.72 | 80% | not typically billed by registered dietitians |
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 Marie Morales, RD, CDCES, BC-ADM performs these services, and they are kept out of the benchmark above.