HEALTHTEXAS PROVIDER NETWORK
NPI 1407448178 · Gastroenterology · SHERMAN, TX · 43300 metro
Weighted percent of Medicare, episode, top 20 codes
106%
No code on this page carries both a professional and a facility rate
Highest payer
127% Cigna
Lowest payer
98% UnitedHealthcare
| Code | Description and site | Your Medicare volume | Medicare episode (PFS + ASC) | CignaEpisode total | UnitedHealthcareEpisode total | Local specialty median | Your percentileNot published |
|---|---|---|---|---|---|---|---|
| 99214 | CPT 99214Professional only | 422 | $132 | 105% | — | ||
| 99204 | CPT 99204Professional only | 332 | $172 | 127% | — | ||
| 45380 | CPT 45380Professional only | 283 | $461 | 131% | — | ||
| 43239 | CPT 43239Professional only | 258 | $401 | 106% | — | ||
| 45385 | CPT 45385Professional only | 226 | $481 | 145% | — | ||
| 99203 | CPT 99203Professional only | 129 | $114 | 119% | — | ||
| 99213 | CPT 99213Professional only | 104 | $92 | 98% | — | ||
| 43249 | CPT 43249Professional only | 100 | $1,124 | 27% | — | ||
| G0121 | HCPCS G0121Professional only | 25 | $364 | — | 97% | — | |
| 99212 | CPT 99212Professional only | 22 | $58 | 90% | — | ||
| 45381 | CPT 45381Professional only | 21 | $471 | 129% | — | ||
| 43235 | CPT 43235Professional only | 19 | $309 | 117% | — |
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 10 Gastroenterology groups in SHERMAN, TX
Percentiles are computed on the episode figure across 10 confirmed gastroenterology NPIs in SHERMAN, TX.
Named in full report
Weighted episode rate by payer
Solid line 100% of Medicare, dashed line local median 106%.
Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.
Unlock all 12 codes, named peer groups and a CSV with facility and episode columns.