Insight Health

ORTHOLONESTAR PLLC

NPI 1104433739 · Orthopedics · TYLER, TX · 46340 metro

SURGERY CENTER OF CROCKETT, LLCTEXAS GENERAL SURGERY CENTER LLC
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Weighted percent of Medicare, episode, top 20 codes

120%

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

Highest payer

156% Aetna

Lowest payer

86% Cigna

Local percentile · 38th of 32 groupsMedian 129%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99490CPT 99490Professional only9,524$64142%—
99213CPT 99213Professional only4,159$92137%—
99214CPT 99214Professional only2,641$0138%—
99439CPT 99439Professional only1,492$49137%—
20610CPT 20610Professional only1,439$66134%—
99204CPT 99204Professional only1,218$172141%—
99203CPT 99203Professional only1,124$0137%—
73564CPT 73564Professional only1,098$36175%—
73030CPT 73030Professional only881$25169%—
72100CPT 72100Professional only726$10175%—
73630CPT 73630Professional only713$25166%—
99212CPT 99212Professional only632$58130%—
27447CPT 27447Professional only540$1,127171%—
73130CPT 73130Professional only467$9163%—
73562CPT 73562Professional only461$41172%—
73502CPT 73502Professional only444$47169%—
22853CPT 22853Professional only434$0169%—
73610CPT 73610Professional only406$0166%—
72040CPT 72040Professional only335$28173%—
22614CPT 22614Professional only311$0169%—
Top 20 of 719 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 719 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 32 Orthopedics groups in TYLER, TX

Percentiles are computed on the episode figure across 32 confirmed orthopedics NPIs in TYLER, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 120%.

Aetna
156%
Cigna
86%
UnitedHealthcare
110%

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

Unlock all 719 codes, named peer groups and a CSV with facility and episode columns.