Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1922551068 · Otolaryngology (ENT) · HOUSTON, TX · 26420 metro

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Weighted percent of Medicare, episode, top 20 codes

93%

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

Highest payer

123% UnitedHealthcare

Lowest payer

84% Aetna

Local percentile · 41st of 172 groupsMedian 120%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
31579CPT 31579Professional only239$0117%—
99214CPT 99214Professional only165$095%—
99213CPT 99213Professional only141$094%—
99204CPT 99204Professional only52$098%—
95117CPT 95117Professional only17$0112%—
69210CPT 69210Professional only12$093%—
Top 6 of 6 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 172 Otolaryngology (ENT) groups in HOUSTON, TX

Percentiles are computed on the episode figure across 172 confirmed otolaryngology (ent) NPIs in HOUSTON, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 93%.

Aetna
84%
Cigna
118%
UnitedHealthcare
123%

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

Unlock all 6 codes, named peer groups and a CSV with facility and episode columns.