Insight Health

ORTHOLONESTAR PLLC

NPI 1336756980 · Orthopedics · NACOGDOCHES, TX · 34860 metro

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Weighted percent of Medicare, episode, top 20 codes

129%

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

Highest payer

153% Aetna

Lowest payer

93% Cigna

Local percentile · 72nd of 4 groupsMedian 105%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only1,448$9279%—
99490CPT 99490Professional only838$64114%—
20610CPT 20610Professional only779$093%—
99214CPT 99214Professional only432$080%—
73560CPT 73560Professional only348$8166%—
99203CPT 99203Professional only214$089%—
73502CPT 73502Professional only213$36124%—
73030CPT 73030Professional only212$34124%—
73562CPT 73562Professional only190$083%—
73110CPT 73110Professional only127$0174%—
99204CPT 99204Professional only113$098%—
99439CPT 99439Professional only111$49105%—
27447CPT 27447Professional only67$0162%—
73610CPT 73610Professional only64$0166%—
77002CPT 77002Professional only56$27166%—
73130CPT 73130Professional only51$0122%—
73630CPT 73630Professional only51$0125%—
73565CPT 73565Professional only45$0166%—
29827CPT 29827Professional only41$0162%—
29826CPT 29826Professional only39$0161%—
Top 20 of 26 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 26 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 4 Orthopedics groups in NACOGDOCHES, TX

Percentiles are computed on the episode figure across 4 confirmed orthopedics NPIs in NACOGDOCHES, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 129%.

Aetna
153%
Cigna
93%
UnitedHealthcare
113%

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

Unlock all 26 codes, named peer groups and a CSV with facility and episode columns.