Insight Health

MEDHEALTH

NPI 1285021857 · Otolaryngology (ENT) · DALLAS, TX · 19100 metro

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Weighted percent of Medicare, episode, top 20 codes

90%

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

Highest payer

106% Cigna

Lowest payer

83% Aetna

Local percentile · under 25th of 133 groupsMedian 162%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99203CPT 99203Professional only169$11799%—
99213CPT 99213Professional only136$9599%—
99212CPT 99212Professional only97$092%—
92567CPT 92567Professional only93$1693%—
92557CPT 92557Professional only92$36104%—
31575CPT 31575Professional only41$092%—
99202CPT 99202Professional only35$093%—
99204CPT 99204Professional only27$0102%—
31231CPT 31231Professional only24$19280%—
99214CPT 99214Professional only18$0100%—
69210CPT 69210Professional only13$4897%—
Top 11 of 11 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 133 Otolaryngology (ENT) groups in DALLAS, TX

Percentiles are computed on the episode figure across 133 confirmed otolaryngology (ent) NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 90%.

Aetna
83%
Cigna
106%
UnitedHealthcare
97%

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

Unlock all 11 codes, named peer groups and a CSV with facility and episode columns.