Shahram Shakeri, D.C.
Independent Medical Examiner Chiropractor · Houston, TX 77074 · NPI 1922467133
29%of Medicare
BCBSTX pays Shahram Shakeri, D.C. $28.20 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 independent medical examiner chiropractors |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $28.20 | $96.33 | 29% | above 0% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $59.99 | $137.41 | 44% | above 11% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 70553MRI brain, with and without contrast | $252.85 | $317.92 | 80% | not typically billed by independent medical examiner chiropractors |
| 72148MRI lumbar spine, without contrast | $151.55 | $192.38 | 79% | not typically billed by independent medical examiner chiropractors |
| 77067Screening mammography, bilateral | $28.12 | $126.38 | 22% | not typically billed by independent medical examiner chiropractors |
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 Shahram Shakeri, D.C. performs these services, and they are kept out of the benchmark above.