Insight Health

BHS PHYSICIANS NETWORK, INC

NPI 1891988416 · Urology · NEW BRAUNFELS, TX · 41700 metro

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Weighted percent of Medicare, episode, top 20 codes

203%

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

Highest payer

329% UnitedHealthcare

Lowest payer

171% Aetna

Local percentile · over 75th of 55 groupsMedian 86%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only2,539$92128%—
99214CPT 99214Professional only1,093$0129%—
99204CPT 99204Professional only458$0132%—
99203CPT 99203Professional only427$0128%—
52000CPT 52000Professional only345$0107%—
51798CPT 51798Professional only319$0162%—
99212CPT 99212Professional only252$0130%—
51702CPT 51702Professional only241$63108%—
96372CPT 96372Professional only207$15160%—
76872CPT 76872Professional only74$31161%—
52356CPT 52356Professional only72$358157%—
96402CPT 96402Professional only67$37161%—
51741CPT 51741Professional only53$9157%—
51728CPT 51728Professional only42$102145%—
51784CPT 51784Professional only42$0127%—
51797CPT 51797Professional only32$110181%—
52332CPT 52332Professional only26$0110%—
52648CPT 52648Professional only24$516158%—
52601CPT 52601Professional only15$514158%—
99215CPT 99215Professional only15$0126%—
Top 20 of 20 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 55 Urology groups in NEW BRAUNFELS, TX

Percentiles are computed on the episode figure across 55 confirmed urology NPIs in NEW BRAUNFELS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 203%.

Aetna
171%
Cigna
191%
UnitedHealthcare
329%

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

Unlock all 20 codes, named peer groups and a CSV with facility and episode columns.