Insight Health

ORTHOLONESTAR PLLC

NPI 1912001983 · Pain management and PM&R · AUSTIN, TX · 12420 metro

Claim this practice

Weighted percent of Medicare, episode, top 20 codes

107%

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

Highest payer

125% UnitedHealthcare

Lowest payer

93% Cigna

Local percentile · 40th of 84 groupsMedian 123%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only911$13976%—
99213CPT 99213Professional only678$9875%—
64483CPT 64483Professional only529$069%—
99204CPT 99204Professional only348$079%—
62323CPT 62323Professional only313$28567%—
20611CPT 20611Professional only248$107—89%—
64484CPT 64484Professional only156$070%—
62321CPT 62321Professional only147$28868%—
72148CPT 72148Professional only139$0209%—
20610CPT 20610Professional only126$7187%—
64493CPT 64493Professional only126$19871%—
64635CPT 64635Professional only105$48470%—
64636CPT 64636Professional only103$26363%—
99203CPT 99203Professional only103$12081%—
64494CPT 64494Professional only93$9974%—
95886CPT 95886Professional only93$104117%—
20552CPT 20552Professional only83$0132%—
72110CPT 72110Professional only67$5682%—
72100CPT 72100Professional only64$3183%—
27096CPT 27096Professional only62$18277%—
Top 20 of 34 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 34 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 84 Pain management and PM&R groups in AUSTIN, TX

Percentiles are computed on the episode figure across 84 confirmed pain management and pm&r NPIs in AUSTIN, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 107%.

Aetna
99%
Cigna
93%
UnitedHealthcare
125%

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

Unlock all 34 codes, named peer groups and a CSV with facility and episode columns.