Weighted percent of Medicare, episode, top 20 codes
91%
No code on this page carries both a professional and a facility rate
Highest payer
106% UnitedHealthcare
Lowest payer
79% Aetna
| Code | Description and site | Your Medicare volume | Medicare episode (PFS + ASC) | AetnaEpisode total | CignaEpisode total | UnitedHealthcareEpisode total | Local specialty median | Your percentileNot published |
|---|---|---|---|---|---|---|---|---|
| 99214 | CPT 99214Professional only | 250 | $0 | 85% | — | |||
| 99213 | CPT 99213Professional only | 68 | $92 | 78% | — | |||
| 72100 | CPT 72100Professional only | 61 | $0 | 106% | — | |||
| 99204 | CPT 99204Professional only | 54 | $0 | 92% | — | |||
| 72110 | CPT 72110Professional only | 46 | $12 | 105% | — | |||
| 72040 | CPT 72040Professional only | 37 | $28 | 106% | — | |||
| 72070 | CPT 72070Professional only | 18 | $32 | 108% | — |
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 68 Neurosurgery groups in MCKINNEY, TX
Percentiles are computed on the episode figure across 68 confirmed neurosurgery NPIs in MCKINNEY, TX.
Named in full report
Weighted episode rate by payer
Solid line 100% of Medicare, dashed line local median 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 7 codes, named peer groups and a CSV with facility and episode columns.