Insight Health

ORTHOLONESTAR PLLC

NPI 1588502371 · Pain management and PM&R · HOUSTON, TX · 26420 metro

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Weighted percent of Medicare, episode, top 20 codes

92%

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

Highest payer

105% UnitedHealthcare

Lowest payer

84% Aetna

Local percentile · 46th of 171 groupsMedian 100%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only3,345$078%—
64483CPT 64483Professional only1,344$075%—
64484CPT 64484Professional only1,207$076%—
99213CPT 99213Professional only1,036$080%—
95886CPT 95886Professional only801$46112%—
62323CPT 62323Professional only696$074%—
99204CPT 99204Professional only696$18088%—
99490CPT 99490Professional only671$6783%—
62290CPT 62290Professional only632$076%—
72295CPT 72295Professional only632$41105%—
97112CPT 97112Professional only585$3350%—
64493CPT 64493Professional only501$19277%—
64494CPT 64494Professional only434$9784%—
99203CPT 99203Professional only362$098%—
64479CPT 64479Professional only318$079%—
95911CPT 95911Professional only304$87128%—
20610CPT 20610Professional only245$7094%—
64480CPT 64480Professional only237$082%—
64635CPT 64635Professional only214$46778%—
64636CPT 64636Professional only207$25267%—
Top 20 of 50 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 50 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 171 Pain management and PM&R groups in HOUSTON, TX

Percentiles are computed on the episode figure across 171 confirmed pain management and pm&r NPIs in HOUSTON, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 92%.

Aetna
84%
Cigna
95%
UnitedHealthcare
105%

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

Unlock all 50 codes, named peer groups and a CSV with facility and episode columns.