HEALTHTEXAS PROVIDER NETWORK
Gastroenterology · EDINBURG, TX · 32580 metro
Weighted percent of Medicare, episode, top 20 codes
112%
No code on this page carries both a professional and a facility rate
Highest payer
133% UnitedHealthcare
Lowest payer
96% Aetna
| Code | Description and site | Your Medicare volume | Medicare episode (PFS + ASC) | AetnaEpisode total | CignaEpisode total | UnitedHealthcareEpisode total | Local specialty median | Your percentileNot published |
|---|---|---|---|---|---|---|---|---|
| 99213 | CPT 99213Professional only | 58 | $92 | 75% | — | |||
| 43239 | CPT 43239Professional only | 57 | $401 | 73% | — | |||
| 45385 | CPT 45385Professional only | 57 | $481 | 83% | — | |||
| 45380 | CPT 45380Professional only | 54 | $461 | 78% | — | |||
| 99214 | CPT 99214Professional only | 52 | $132 | 76% | — | |||
| 99204 | CPT 99204Professional only | 31 | $172 | 79% | — | |||
| 99215 | CPT 99215Professional only | 18 | $187 | 87% | — |
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 18 Gastroenterology groups in EDINBURG, TX
Percentiles are computed on the episode figure across 18 confirmed gastroenterology NPIs in EDINBURG, TX.
Named in full report
Weighted episode rate by payer
Solid line 100% of Medicare, dashed line local median 112%.
Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.
Unlock all 7 codes, named peer groups and a CSV with facility and episode columns.