Jung-hoon KIM, MD
Geriatric Medicine (Internal Medicine) Physician · Houston, TX 77096 · NPI 1821200296
134%of Medicare
BCBSTX pays Jung-hoon KIM, MD $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 geriatric medicine (internal medicine) physicians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $129.07 | $96.33 | 134% | above 96% of 47 Houston geriatric medicine (internal medicine) physicians |
| 99214Office visit, established patient, moderate complexity | $189.08 | $137.41 | 138% | above 96% of 47 Houston geriatric medicine (internal medicine) physicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 72148MRI lumbar spine, without contrast | $101.41 | $192.38 | 53% | not typically billed by geriatric medicine (internal medicine) 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 Jung-hoon KIM, MD performs these services, and they are kept out of the benchmark above.