Insight Health

BHS PHYSICIANS NETWORK, INC

Otolaryngology (ENT) · NACOGDOCHES, TX · 34860 metro

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Weighted percent of Medicare, episode, top 20 codes

174%

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

Highest payer

177% Aetna

Lowest payer

160% Cigna

Local percentile · over 75th of 3 groupsMedian 129%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99204CPT 99204Professional only42$172131%—
99213CPT 99213Professional only17$0114%—
31231CPT 31231Professional only13$185167%—
69210CPT 69210Professional only12$46143%—
Top 4 of 4 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 NACOGDOCHES, TX

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

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 174%.

Aetna
177%
Cigna
160%
UnitedHealthcare
173%

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

Unlock all 4 codes, named peer groups and a CSV with facility and episode columns.