Insight Health

HEALTHTEXAS PROVIDER NETWORK

Ophthalmology · DALLAS, TX · 19100 metro

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Weighted percent of Medicare, episode, top 20 codes

145%

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

Highest payer

197% Cigna

Lowest payer

66% Aetna

Local percentile · over 75th of 233 groupsMedian 78%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
92020CPT 92020Professional only645$2788%—
92014CPT 92014Professional only638$12780%—
92250CPT 92250Professional only634$37130%—
76514CPT 76514Professional only158$1290%—
92004CPT 92004Professional only41$15086%—
92133CPT 92133Professional only30$31117%—
76519CPT 76519Professional only20$3966%—
Top 7 of 7 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 233 Ophthalmology groups in DALLAS, TX

Percentiles are computed on the episode figure across 233 confirmed ophthalmology NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 145%.

Aetna
66%
Cigna
197%
UnitedHealthcare
173%

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

Unlock all 7 codes, named peer groups and a CSV with facility and episode columns.