Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1558692665 · Gastroenterology · DALLAS, TX · 19100 metro

COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LPMED CITY DALLAS OUTPATIENT SURGERY CENTER, L.P.TREE OF LIFE BIRTH COUNSELING AND WELLNESS CENTER PLLC
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Weighted percent of Medicare, episode, top 20 codes

103%

Mean episode $3,032 · professional $593 · facility $2,439, on the 92 rows with both

Highest payer

207% UnitedHealthcare

Lowest payer

60% Aetna

Local percentile · 53rd of 287 groupsMedian 86%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only2,573$0106%—
43239CPT 43239COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP1,686$0111%—
45385CPT 45385COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP1,533$481160%—
45380CPT 45380COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP1,064$0134%—
99213CPT 99213Professional only735$0104%—
99215CPT 99215Professional only725$0108%—
99204CPT 99204Professional only715$0108%—
G0105HCPCS G0105COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP304$364—94%—
43249CPT 43249COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP209$072%—
99205CPT 99205Professional only180$0111%—
91010CPT 91010Professional only154$245—193%—
43248CPT 43248COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP130$086%—
43235CPT 43235COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP128$498138%—
G0121HCPCS G0121COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP114——93%—
99203CPT 99203Professional only105$114104%—
96413CPT 96413Professional only86$133—190%—
91035CPT 91035Professional only66$500—191%—
43242CPT 43242COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP65—130%—
43270CPT 43270COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP62—41%—
45378CPT 45378COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP40—93%—
Top 20 of 697 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 697 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 287 Gastroenterology groups in DALLAS, TX

Percentiles are computed on the episode figure across 287 confirmed gastroenterology NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 103%.

Aetna
60%
Cigna
135%
UnitedHealthcare
207%

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

Unlock all 697 codes, named peer groups and a CSV with facility and episode columns.