Insight Health

BHS PHYSICIANS NETWORK, INC

Otolaryngology (ENT) · HARLINGEN, TX · 15180 metro

Claim this practice

Weighted percent of Medicare, episode, top 20 codes

148%

No code on this page carries both a professional and a facility rate

Highest payer

154% UnitedHealthcare

Lowest payer

144% Cigna

Local percentile · over 75th of 3 groupsMedian 106%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only27$077%—
99212CPT 99212Professional only26$0104%—
31575CPT 31575Professional only19$0106%—
99204CPT 99204Professional only18$0127%—
99203CPT 99203Professional only14$077%—
Top 5 of 5 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.

Peer quartiles are published per site of service, not for the episode total, so an episode rank is not available. Switch to Professional or Facility for a ranked view.

Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.

Compared with 3 Otolaryngology (ENT) groups in HARLINGEN, TX

Percentiles are computed on the episode figure across 3 confirmed otolaryngology (ent) NPIs in HARLINGEN, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 148%.

Aetna
148%
Cigna
144%
UnitedHealthcare
154%

Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.

Unlock all 5 codes, named peer groups and a CSV with facility and episode columns.