Insight Health

BHS PHYSICIANS NETWORK, INC

NPI 1922876390 · Orthopedics · TOMBALL, TX · 26420 metro

ADVANCED SPINAL TECHNOLOGIES, PLLCINNOVATIVE SPINAL SOLUTIONS, PLLCRED OAK SURGICAL, PLLCEXECUTIVE SURGERY CENTER, LLC
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Weighted percent of Medicare, episode, top 20 codes

139%

Mean episode $25,024 · professional $3,024 · facility $22,000, on the 4 rows with both

Highest payer

153% Aetna

Lowest payer

119% UnitedHealthcare

Local percentile · 43rd of 339 groupsMedian 170%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
20610CPT 20610Professional only2,644$7093%—
99214CPT 99214Professional only2,617$081%—
99213CPT 99213Professional only2,472$082%—
99204CPT 99204Professional only1,015$18088%—
73562CPT 73562Professional only786$42110%—
73030CPT 73030Professional only625$9114%—
73564CPT 73564Professional only573$49112%—
99203CPT 99203Professional only557$12091%—
72100CPT 72100Professional only528$30112%—
72110CPT 72110Professional only393$13111%—
73130CPT 73130Professional only389$29110%—
73502CPT 73502Professional only344$11116%—
73630CPT 73630Professional only321$0113%—
73610CPT 73610Professional only190$29114%—
73560CPT 73560Professional only189$0114%—
20550CPT 20550Professional only170$088%—
73110CPT 73110Professional only148$0108%—
22853CPT 22853Professional only143$0123%—
27447CPT 27447ADVANCED SPINAL TECHNOLOGIES, PLLC137$0125%—
20600CPT 20600Professional only134$5791%—
Top 20 of 49 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 49 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 339 Orthopedics groups in TOMBALL, TX

Percentiles are computed on the episode figure across 339 confirmed orthopedics NPIs in TOMBALL, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 139%.

Aetna
153%
Cigna
124%
UnitedHealthcare
119%

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

Unlock all 49 codes, named peer groups and a CSV with facility and episode columns.