Insight Health
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
45380CPT 45380Professional only118$442160%—
99213CPT 99213Professional only92$8989%—
43239CPT 43239Professional only81$384122%—
45385CPT 45385Professional only68$462157%—
99214CPT 99214Professional only51$12799%—
99204CPT 99204Professional only50$166128%—
99203CPT 99203Professional only39$110128%—
43235CPT 43235Professional only14$297101%—
Top 8 of 8 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 33 Gastroenterology groups in MEMPHIS, TN

Percentiles are computed on the episode figure across 33 confirmed gastroenterology NPIs in MEMPHIS, TN.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 105%.

Aetna
112%
Cigna
103%
UnitedHealthcare
101%

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

Unlock all 8 codes, named peer groups and a CSV with facility and episode columns.