Insight Health

ORTHOLONESTAR PLLC

NPI 1912001983 · Orthopedics · AUSTIN, TX · 12420 metro

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Weighted percent of Medicare, episode, top 20 codes

95%

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

Highest payer

108% UnitedHealthcare

Lowest payer

84% Aetna

Local percentile · under 25th of 121 groupsMedian 203%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only5,457$082%—
99213CPT 99213Professional only5,454$081%—
20610CPT 20610Professional only2,762$095%—
99204CPT 99204Professional only2,157$086%—
73030CPT 73030Professional only1,582$3782%—
73564CPT 73564Professional only1,515$081%—
99203CPT 99203Professional only1,335$12086%—
73502CPT 73502Professional only1,199$1183%—
73630CPT 73630Professional only1,172$886%—
73562CPT 73562Professional only1,013$3581%—
73130CPT 73130Professional only919$4081%—
73610CPT 73610Professional only751$885%—
20600CPT 20600Professional only732$5893%—
73110CPT 73110Professional only712$080%—
20611CPT 20611Professional only678$10789%—
20550CPT 20550Professional only661$094%—
20605CPT 20605Professional only460$5995%—
97110CPT 97110Professional only454$3071%—
72100CPT 72100Professional only306$083%—
97112CPT 97112Professional only299$3472%—
Top 20 of 56 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 56 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 121 Orthopedics groups in AUSTIN, TX

Percentiles are computed on the episode figure across 121 confirmed orthopedics NPIs in AUSTIN, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 95%.

Aetna
84%
Cigna
95%
UnitedHealthcare
108%

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

Unlock all 56 codes, named peer groups and a CSV with facility and episode columns.