Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1336548999 · Neurosurgery · HOUSTON, TX · 26420 metro

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Weighted percent of Medicare, episode, top 20 codes

199%

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

Highest payer

234% Aetna

Lowest payer

121% Cigna

Local percentile · 58th of 72 groupsMedian 137%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99204CPT 99204Professional only27$180115%—
99213CPT 99213Professional only14$089%—
Top 2 of 2 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 72 Neurosurgery groups in HOUSTON, TX

Percentiles are computed on the episode figure across 72 confirmed neurosurgery NPIs in HOUSTON, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 199%.

Aetna
234%
Cigna
121%
UnitedHealthcare
137%

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

Unlock all 2 codes, named peer groups and a CSV with facility and episode columns.