Insight Health

MEDHEALTH

NPI 1285021857 · Gastroenterology · DALLAS, TX · 19100 metro

Claim this practice

Weighted percent of Medicare, episode, top 20 codes

93%

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

Highest payer

102% UnitedHealthcare

Lowest payer

90% Aetna

Local percentile · 51st of 287 groupsMedian 86%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only1,555$0106%—
43239CPT 43239Professional only1,009$0111%—
99213CPT 99213Professional only927$0104%—
45385CPT 45385Professional only627$0160%—
99204CPT 99204Professional only573$0108%—
45380CPT 45380Professional only461$0134%—
99203CPT 99203Professional only193$0104%—
99215CPT 99215Professional only192$0108%—
43235CPT 43235Professional only175$0138%—
43264CPT 43264Professional only172$0160%—
99212CPT 99212Professional only157$099%—
43259CPT 43259Professional only135$198130%—
43242CPT 43242Professional only117$0130%—
43274CPT 43274Professional only115$400142%—
99202CPT 99202Professional only81$75101%—
43248CPT 43248Professional only76$45686%—
99205CPT 99205Professional only75$0111%—
45390CPT 45390Professional only70$289138%—
43255CPT 43255Professional only62$056%—
G0105HCPCS G0105Professional only62$094%—
Top 20 of 32 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 32 in the full report

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 287 Gastroenterology groups in DALLAS, TX

Percentiles are computed on the episode figure across 287 confirmed gastroenterology NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 93%.

Aetna
90%
Cigna
99%
UnitedHealthcare
102%

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

Unlock all 32 codes, named peer groups and a CSV with facility and episode columns.