Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1407448178 · Gastroenterology · SHERMAN, TX · 43300 metro

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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

Local percentile · 60th of 10 groupsMedian 97%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)CignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only422$132105%—
99204CPT 99204Professional only332$172127%—
45380CPT 45380Professional only283$461131%—
43239CPT 43239Professional only258$401106%—
45385CPT 45385Professional only226$481145%—
99203CPT 99203Professional only129$114119%—
99213CPT 99213Professional only104$9298%—
43249CPT 43249Professional only100$1,12427%—
G0121HCPCS G0121Professional only25$364—97%—
99212CPT 99212Professional only22$5890%—
45381CPT 45381Professional only21$471129%—
43235CPT 43235Professional only19$309117%—
Top 12 of 12 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 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%.

Cigna
127%
UnitedHealthcare
98%

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.