Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1184809543 · Otolaryngology (ENT) · DALLAS, TX · 19100 metro

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Weighted percent of Medicare, episode, top 20 codes

102%

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

Highest payer

139% UnitedHealthcare

Lowest payer

75% Aetna

Local percentile · under 25th of 133 groupsMedian 162%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
31579CPT 31579Professional only901$095%—
99213CPT 99213Professional only814$9599%—
99214CPT 99214Professional only711$135100%—
99204CPT 99204Professional only403$172102%—
69210CPT 69210Professional only394$097%—
99203CPT 99203Professional only353$099%—
92552CPT 92552Professional only154$068%—
92556CPT 92556Professional only154$0120%—
31575CPT 31575Professional only124$092%—
31231CPT 31231Professional only114$19280%—
43236CPT 43236Professional only78$444—82%—
99215CPT 99215Professional only53$192102%—
99212CPT 99212Professional only49$092%—
43249CPT 43249Professional only47$1,175—24%—
64617CPT 64617Professional only40$0397%—
99205CPT 99205Professional only30$0108%—
64582CPT 64582Professional only21$717—179%—
61782CPT 61782Professional only20$143145%—
31237CPT 31237Professional only19$094%—
Top 19 of 19 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 133 Otolaryngology (ENT) groups in DALLAS, TX

Percentiles are computed on the episode figure across 133 confirmed otolaryngology (ent) NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 102%.

Aetna
75%
Cigna
132%
UnitedHealthcare
139%

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

Unlock all 19 codes, named peer groups and a CSV with facility and episode columns.