Insight Health

BHS PHYSICIANS NETWORK, INC

NPI 1306464110 · Orthopedics · LIVE OAK, TX · 41700 metro

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Weighted percent of Medicare, episode, top 20 codes

148%

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

Highest payer

167% Aetna

Lowest payer

112% Cigna

Local percentile · 55th of 133 groupsMedian 133%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only1,721$081%—
20610CPT 20610Professional only1,589$6697%—
99214CPT 99214Professional only1,311$13285%—
73562CPT 73562Professional only860$41150%—
99203CPT 99203Professional only635$089%—
73564CPT 73564Professional only610$36117%—
73030CPT 73030Professional only558$34117%—
73502CPT 73502Professional only527$10125%—
27447CPT 27447Professional only394$0114%—
99204CPT 99204Professional only341$087%—
27130CPT 27130Professional only156$1,129124%—
73130CPT 73130Professional only134$9101%—
20550CPT 20550Professional only73$0106%—
20611CPT 20611Professional only59$101112%—
23472CPT 23472Professional only49$0108%—
20600CPT 20600Professional only46$0102%—
72100CPT 72100Professional only46$1089%—
29827CPT 29827Professional only43$0113%—
26055CPT 26055Professional only41$602103%—
73080CPT 73080Professional only41$3299%—
Top 20 of 32 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 32 in the full report

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 133 Orthopedics groups in LIVE OAK, TX

Percentiles are computed on the episode figure across 133 confirmed orthopedics NPIs in LIVE OAK, TX.

Named in full report

Weighted episode rate by payer

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

Aetna
167%
Cigna
112%
UnitedHealthcare
136%

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

Unlock all 32 codes, named peer groups and a CSV with facility and episode columns.