Joseph Mills, MD
Vascular Surgery Physician · Houston, TX 77030 · NPI 1730270679
64%of Medicare
BCBSTX pays Joseph Mills, MD $61.45 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 vascular surgery physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $61.45 | $96.33 | 64% | above 29% of 53 Houston vascular surgery physicians |
| 99214Office visit, established patient, moderate complexity | $80.13 | $137.41 | 58% | above 4% of 53 Houston vascular surgery physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $136.24 | $317.92 | 43% | not typically billed by vascular surgery physicians |
| 72148MRI lumbar spine, without contrast | $87.88 | $192.38 | 46% | not typically billed by vascular surgery physicians |
| 74177CT abdomen and pelvis, with contrast | $70.74 | $300.72 | 24% | not typically billed by vascular surgery physicians |
| 77067Screening mammography, bilateral | $161.89 | $126.38 | 128% | not typically billed by vascular 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 Joseph Mills, MD performs these services, and they are kept out of the benchmark above.