Kiya Reeves, DPT
Physical Therapist · Houston, TX 77065 · NPI 1952085342
44%of Medicare
BCBSTX pays Kiya Reeves, DPT $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 physical therapists |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $42.66 | $96.33 | 44% | above 0% of 452 Houston physical therapists |
| 99214Office visit, established patient, moderate complexity | $65.75 | $137.41 | 48% | above 0% of 452 Houston physical therapists |
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 physical therapists |
| 72148MRI lumbar spine, without contrast | $151.55 | $192.38 | 79% | not typically billed by physical therapists |
| 74177CT abdomen and pelvis, with contrast | $239.31 | $300.72 | 80% | not typically billed by physical therapists |
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 Kiya Reeves, DPT performs these services, and they are kept out of the benchmark above.