YUN Gong, M.D.
Cytopathology Physician · Houston, TX 77030 · NPI 1750487831
134%of Medicare
BCBSTX pays YUN Gong, M.D. $129.07 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 cytopathology physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $129.07 | $96.33 | 134% | above 46% of 14 Houston cytopathology physicians |
| 99214Office visit, established patient, moderate complexity | $189.08 | $137.41 | 138% | above 46% of 14 Houston cytopathology physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $157.20 | $317.92 | 49% | not typically billed by cytopathology physicians |
| 74177CT abdomen and pelvis, with contrast | $125.18 | $300.72 | 42% | not typically billed by cytopathology physicians |
| 77067Screening mammography, bilateral | $186.80 | $126.38 | 148% | not typically billed by cytopathology 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 YUN Gong, M.D. performs these services, and they are kept out of the benchmark above.