Insight Health

BHS PHYSICIANS NETWORK, INC

NPI 1841570728 · Gastroenterology · BROWNSVILLE, TX · 15180 metro

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Weighted percent of Medicare, episode, top 20 codes

152%

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

Highest payer

178% Cigna

Lowest payer

143% UnitedHealthcare

Local percentile · over 75th of 11 groupsMedian 57%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
43239CPT 43239Professional only127$073%—
45378CPT 45378Professional only77$081%—
99213CPT 99213Professional only72$9271%—
99214CPT 99214Professional only65$072%—
99212CPT 99212Professional only63$0126%—
99204CPT 99204Professional only46$077%—
43246CPT 43246Professional only45$0125%—
99203CPT 99203Professional only24$077%—
45380CPT 45380Professional only15$078%—
Top 9 of 9 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 11 Gastroenterology groups in BROWNSVILLE, TX

Percentiles are computed on the episode figure across 11 confirmed gastroenterology NPIs in BROWNSVILLE, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 152%.

Aetna
149%
Cigna
178%
UnitedHealthcare
143%

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

Unlock all 9 codes, named peer groups and a CSV with facility and episode columns.