Insight Health

ORTHOLONESTAR PLLC

NPI 1356624183 · Pain management and PM&R · ALLEN, TX · 19100 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

113% UnitedHealthcare

Lowest payer

89% Aetna

Local percentile · 47th of 262 groupsMedian 103%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only227$075%—
99204CPT 99204Professional only170$088%—
95886CPT 95886Professional only130$45113%—
64483CPT 64483Professional only128$073%—
72100CPT 72100Professional only78$0150%—
99203CPT 99203Professional only75$11784%—
99213CPT 99213Professional only59$074%—
64450CPT 64450Professional only54$0105%—
95910CPT 95910Professional only50$106113%—
76942CPT 76942Professional only41$31235%—
64493CPT 64493Professional only37$18377%—
64494CPT 64494Professional only35$9381%—
20611CPT 20611Professional only30$10184%—
62323CPT 62323Professional only29$26271%—
72040CPT 72040Professional only28$1086%—
95908CPT 95908Professional only24$118139%—
20552CPT 20552Professional only19$096%—
64447CPT 64447Professional only17$12999%—
64484CPT 64484Professional only17$117—76%—
73502CPT 73502Professional only16$3681%—
Top 20 of 23 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 23 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 262 Pain management and PM&R groups in ALLEN, TX

Percentiles are computed on the episode figure across 262 confirmed pain management and pm&r NPIs in ALLEN, TX.

Named in full report

Weighted episode rate by payer

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

Aetna
89%
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 23 codes, named peer groups and a CSV with facility and episode columns.