Insight Health

CARROLL AVE PHYSICIANS GROUP PLLC

NPI 1255122875 · Orthopedics · DALLAS, TX · 19100 metro

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Weighted percent of Medicare, episode, top 20 codes

84%

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

Highest payer

92% Cigna

Lowest payer

75% Aetna

Local percentile · 39th of 398 groupsMedian 118%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only286$077%—
20610CPT 20610Professional only270$0101%—
99213CPT 99213Professional only226$078%—
73560CPT 73560Professional only220$086%—
99204CPT 99204Professional only91$17790%—
73502CPT 73502Professional only89$11106%—
73030CPT 73030Professional only80$3687%—
73130CPT 73130Professional only32$3874%—
27447CPT 27447Professional only30$0148%—
27130CPT 27130Professional only15$0136%—
Top 10 of 10 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 398 Orthopedics groups in DALLAS, TX

Percentiles are computed on the episode figure across 398 confirmed orthopedics NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 84%.

Aetna
75%
Cigna
92%
UnitedHealthcare
91%

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

Unlock all 10 codes, named peer groups and a CSV with facility and episode columns.