Insight Health

HEALTHTEXAS PROVIDER NETWORK

NPI 1225537939 · Pain management and PM&R · HOUSTON, TX · 26420 metro

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Weighted percent of Medicare, episode, top 20 codes

156%

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

Highest payer

159% Cigna

Lowest payer

154% UnitedHealthcare

Local percentile · 71st of 171 groupsMedian 100%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)CignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only130$13786%—
99204CPT 99204Professional only63$18098%—
20610CPT 20610Professional only47$70102%—
72110CPT 72110Professional only47$13130%—
99213CPT 99213Professional only43$9685%—
99215CPT 99215Professional only22$19589%—
73564CPT 73564Professional only18$49180%—
20611CPT 20611Professional only16$10699%—
99205CPT 99205Professional only12$242105%—
73502CPT 73502Professional only11$49109%—
Top 10 of 10 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 171 Pain management and PM&R groups in HOUSTON, TX

Percentiles are computed on the episode figure across 171 confirmed pain management and pm&r NPIs in HOUSTON, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 156%.

Cigna
159%
UnitedHealthcare
154%

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

Unlock all 10 codes, named peer groups and a CSV with facility and episode columns.