Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1689512493 · Pain management and PM&R · AUSTIN, TX · 12420 metro

Claim this practice

Weighted percent of Medicare, episode, top 20 codes

85%

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

Highest payer

121% UnitedHealthcare

Lowest payer

72% Aetna

Local percentile · 27th of 84 groupsMedian 123%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only113$13976%—
99215CPT 99215Professional only33$19772%—
99213CPT 99213Professional only25$075%—
99204CPT 99204Professional only16$18179%—
99203CPT 99203Professional only11$12081%—
Top 5 of 5 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 84 Pain management and PM&R groups in AUSTIN, TX

Percentiles are computed on the episode figure across 84 confirmed pain management and pm&r NPIs in AUSTIN, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 85%.

Aetna
72%
Cigna
101%
UnitedHealthcare
121%

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

Unlock all 5 codes, named peer groups and a CSV with facility and episode columns.