Weighted percent of Medicare, episode, top 20 codes
77%
No code on this page carries both a professional and a facility rate
Highest payer
87% Cigna
Lowest payer
67% Aetna
| Code | Description and site | Your Medicare volume | Medicare episode (PFS + ASC) | AetnaEpisode total | CignaEpisode total | UnitedHealthcareEpisode total | Local specialty median | Your percentileNot published |
|---|---|---|---|---|---|---|---|---|
| 64483 | CPT 64483Professional only | 69 | $0 | 69% | — | |||
| 99214 | CPT 99214Professional only | 53 | $139 | 76% | — | |||
| 64484 | CPT 64484Professional only | 46 | $0 | 70% | — | |||
| 27096 | CPT 27096Professional only | 36 | $0 | 77% | — | |||
| 64625 | CPT 64625Professional only | 30 | $516 | — | 95% | — | ||
| 64493 | CPT 64493Professional only | 26 | $198 | 71% | — | |||
| 64494 | CPT 64494Professional only | 26 | $99 | 74% | — | |||
| 64635 | CPT 64635Professional only | 21 | $484 | 70% | — | |||
| 64636 | CPT 64636Professional only | 20 | $263 | 63% | — | |||
| 62321 | CPT 62321Professional only | 17 | $288 | 68% | — | |||
| 64454 | CPT 64454Professional only | 17 | $245 | — | 70% | — | ||
| 62323 | CPT 62323Professional only | 16 | $285 | 67% | — | |||
| 64624 | CPT 64624Professional only | 15 | $429 | — | 86% | — | ||
| 99204 | CPT 99204Professional only | 12 | $0 | 79% | — |
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 84 Pain management and PM&R groups in AUSTIN, TX
Percentiles are computed on the episode figure across 84 confirmed pain management and pm&r NPIs in AUSTIN, TX.
Named in full report
Weighted episode rate by payer
Solid line 100% of Medicare, dashed line local median 77%.
Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.
Unlock all 14 codes, named peer groups and a CSV with facility and episode columns.