Weighted percent of Medicare, episode, top 20 codes
92%
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 | 174 | $132 | 82% | — | |||
| 97110 | CPT 97110Professional only | 71 | $0 | 71% | — | |||
| 99204 | CPT 99204Professional only | 44 | $0 | 86% | — | |||
| 73110 | CPT 73110Professional only | 37 | $0 | 80% | — | |||
| 73030 | CPT 73030Professional only | 32 | $0 | 82% | — | |||
| 73560 | CPT 73560Professional only | 32 | $0 | 83% | — | |||
| 73502 | CPT 73502Professional only | 22 | $47 | 83% | — | |||
| 73565 | CPT 73565Professional only | 18 | $32 | 77% | — |
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 121 Orthopedics groups in ROUND ROCK, TX
Percentiles are computed on the episode figure across 121 confirmed orthopedics NPIs in ROUND ROCK, TX.
Named in full report
Weighted episode rate by payer
Solid line 100% of Medicare, dashed line local median 92%.
Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.
Unlock all 8 codes, named peer groups and a CSV with facility and episode columns.