Insight Health

ORTHOLONESTAR PLLC

NPI 1104433739 · Pain management and PM&R · TYLER, TX · 46340 metro

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Weighted percent of Medicare, episode, top 20 codes

116%

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

Highest payer

143% Aetna

Lowest payer

83% Cigna

Local percentile · 55th of 19 groupsMedian 110%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99490CPT 99490Professional only4,488$64142%—
99214CPT 99214Professional only3,830$132122%—
72100CPT 72100Professional only2,606$28163%—
64483CPT 64483Professional only1,274$0104%—
99204CPT 99204Professional only858$172125%—
99439CPT 99439Professional only686$49137%—
99213CPT 99213Professional only608$92121%—
72040CPT 72040Professional only583$10175%—
64484CPT 64484Professional only538$113104%—
95886CPT 95886Professional only520$52161%—
20610CPT 20610Professional only367$66134%—
64493CPT 64493Professional only363$183108%—
72110CPT 72110Professional only356$51171%—
64494CPT 64494Professional only352$93110%—
99203CPT 99203Professional only338$114121%—
72070CPT 72070Professional only278$10171%—
64636CPT 64636Professional only270$24096%—
63650CPT 63650Professional only254$2,27792%—
64635CPT 64635Professional only236$0110%—
27096CPT 27096Professional only217$169114%—
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 19 Pain management and PM&R groups in TYLER, TX

Percentiles are computed on the episode figure across 19 confirmed pain management and pm&r NPIs in TYLER, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 116%.

Aetna
143%
Cigna
83%
UnitedHealthcare
115%

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.