Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1972461408 · Gastroenterology · ORANGE, CA · 31080 metro

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Weighted percent of Medicare, episode, top 20 codes

71%

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

Highest payer

111% Cigna

Lowest payer

60% Aetna

Local percentile · under 25th of 369 groupsMedian 153%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99204CPT 99204Professional only24$19381%—
43239CPT 43239Professional only12$062%—
45380CPT 45380Professional only11$076%—
Top 3 of 3 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 369 Gastroenterology groups in ORANGE, CA

Percentiles are computed on the episode figure across 369 confirmed gastroenterology NPIs in ORANGE, CA.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 71%.

Aetna
60%
Cigna
111%
UnitedHealthcare
82%

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

Unlock all 3 codes, named peer groups and a CSV with facility and episode columns.