Insight Health

ELITE ORTHOPAEDICS OF IRVING PLLC

NPI 1396965919 · Orthopedics · DALLAS, TX · 19100 metro

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Weighted percent of Medicare, episode, top 20 codes

106%

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

Highest payer

121% UnitedHealthcare

Lowest payer

90% Aetna

Local percentile · 46th of 398 groupsMedian 118%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only2,081$078%—
99214CPT 99214Professional only1,695$077%—
20611CPT 20611Professional only752$084%—
99204CPT 99204Professional only706$17290%—
22614CPT 22614Professional only394$341126%—
20610CPT 20610Professional only376$0101%—
73030CPT 73030Professional only375$087%—
99203CPT 99203Professional only360$086%—
73560CPT 73560Professional only291$086%—
72110CPT 72110Professional only275$53104%—
72100CPT 72100Professional only248$11102%—
73502CPT 73502Professional only214$36106%—
99215CPT 99215Professional only161$18777%—
73562CPT 73562Professional only145$9102%—
73565CPT 73565Professional only140$4069%—
73564CPT 73564Professional only138$097%—
22853CPT 22853Professional only132$224127%—
73130CPT 73130Professional only111$074%—
73110CPT 73110Professional only101$4183%—
27447CPT 27447Professional only74$0148%—
Top 20 of 49 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 49 in the full report

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 106%.

Aetna
90%
Cigna
115%
UnitedHealthcare
121%

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

Unlock all 49 codes, named peer groups and a CSV with facility and episode columns.