Joshua Werner, RD
Pediatric Nutrition Registered Dietitian · Houston, TX 77030 · NPI 1972087583
44%of Medicare
BCBSTX pays Joshua Werner, RD $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 pediatric nutrition registered dietitians |
|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | $42.66 | $96.33 | 44% | above 13% of 24,819 all Houston clinicians |
| 99214Office visit, established patient, moderate complexity | $65.75 | $137.41 | 48% | above 13% of 24,759 all Houston clinicians |
Also contracted — outside this specialty’s usual billing
| Service | BCBSTX | Medicare | % | |
|---|---|---|---|---|
| 74177CT abdomen and pelvis, with contrast | $239.31 | $300.72 | 80% | not typically billed by pediatric nutrition registered dietitians |
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 Joshua Werner, RD performs these services, and they are kept out of the benchmark above.