Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1457802472 · Gastroenterology · GALVESTON, TX · 26420 metro

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Weighted percent of Medicare, episode, top 20 codes

134%

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

Highest payer

148% Cigna

Lowest payer

89% Aetna

Local percentile · 50th of 266 groupsMedian 135%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only133$13792%—
99204CPT 99204Professional only79$18098%—
45385CPT 45385Professional only78$50591%—
43239CPT 43239Professional only48$42181%—
91010CPT 91010Professional only47$177115%—
99215CPT 99215Professional only41$195104%—
99213CPT 99213Professional only39$9683%—
45380CPT 45380Professional only19$476—90%—
91038CPT 91038Professional only12$444—134%—
Top 9 of 9 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 266 Gastroenterology groups in GALVESTON, TX

Percentiles are computed on the episode figure across 266 confirmed gastroenterology NPIs in GALVESTON, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 134%.

Aetna
89%
Cigna
148%
UnitedHealthcare
142%

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

Unlock all 9 codes, named peer groups and a CSV with facility and episode columns.