Insight Health

BHS PHYSICIANS NETWORK, INC

NPI 1710834916 · Orthopedics · HARLINGEN, TX · 15180 metro

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Weighted percent of Medicare, episode, top 20 codes

146%

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

Highest payer

157% Aetna

Lowest payer

116% UnitedHealthcare

Local percentile · 72nd of 14 groupsMedian 107%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only596$078%—
73560CPT 73560Professional only246$25129%—
99203CPT 99203Professional only200$087%—
20610CPT 20610Professional only188$089%—
73502CPT 73502Professional only172$10165%—
73030CPT 73030Professional only136$0115%—
99212CPT 99212Professional only116$0126%—
99214CPT 99214Professional only112$080%—
99204CPT 99204Professional only84$088%—
20550CPT 20550Professional only65$0154%—
73130CPT 73130Professional only61$36168%—
20611CPT 20611Professional only60$0137%—
73562CPT 73562Professional only46$4166%—
27447CPT 27447Professional only31$0176%—
73110CPT 73110Professional only27$41116%—
73610CPT 73610Professional only27$35174%—
99202CPT 99202Professional only22$0152%—
20600CPT 20600Professional only21$54151%—
27245CPT 27245Professional only16$0231%—
Top 19 of 19 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 14 Orthopedics groups in HARLINGEN, TX

Percentiles are computed on the episode figure across 14 confirmed orthopedics NPIs in HARLINGEN, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 146%.

Aetna
157%
Cigna
133%
UnitedHealthcare
116%

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

Unlock all 19 codes, named peer groups and a CSV with facility and episode columns.