Insight Health

HEALTHTEXAS PROVIDER NETWORK

Orthopedics · CHARLOTTE, NC · 16740 metro

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Weighted percent of Medicare, episode, top 20 codes

174%

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

Highest payer

177% Cigna

Lowest payer

171% UnitedHealthcare

Local percentile · 63rd of 161 groupsMedian 143%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)CignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only212$129124%—
73610CPT 73610Professional only189$35179%—
99213CPT 99213Professional only142$91116%—
73630CPT 73630Professional only108$8178%—
99204CPT 99204Professional only91$169132%—
20605CPT 20605Professional only14$54180%—
Top 6 of 6 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 161 Orthopedics groups in CHARLOTTE, NC

Percentiles are computed on the episode figure across 161 confirmed orthopedics NPIs in CHARLOTTE, NC.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 174%.

Cigna
177%
UnitedHealthcare
171%

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

Unlock all 6 codes, named peer groups and a CSV with facility and episode columns.