Insight Health

THE OREGON CLINIC, PC

NPI 1083726988 · Otolaryngology (ENT) · GRESHAM, OR · 38900 metro

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Weighted percent of Medicare, episode, top 20 codes

286%

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

Highest payer

333% Cigna

Lowest payer

104% Aetna

Local percentile · 68th of 56 groupsMedian 224%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
95165CPT 95165Professional only3,042$1969%—
99213CPT 99213Professional only1,230$0129%—
99203CPT 99203Professional only783$0120%—
95115CPT 95115Professional only747$0105%—
99214CPT 99214Professional only503$0113%—
31575CPT 31575Professional only362$137126%—
99204CPT 99204Professional only361$0119%—
31231CPT 31231Professional only334$210—171%—
69210CPT 69210Professional only249$50133%—
95117CPT 95117Professional only187$14—342%—
92557CPT 92557Professional only179$0139%—
99212CPT 99212Professional only178$091%—
92567CPT 92567Professional only132$17119%—
99202CPT 99202Professional only52$0111%—
69220CPT 69220Professional only39$83—281%—
69433CPT 69433Professional only37$217—344%—
99215CPT 99215Professional only36$202—222%—
70486CPT 70486Professional only34$41—383%—
31237CPT 31237Professional only26$284—206%—
30520CPT 30520Professional only24$647—382%—
Top 20 of 28 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 28 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 56 Otolaryngology (ENT) groups in GRESHAM, OR

Percentiles are computed on the episode figure across 56 confirmed otolaryngology (ent) NPIs in GRESHAM, OR.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 286%.

Aetna
104%
Cigna
333%
UnitedHealthcare
316%

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

Unlock all 28 codes, named peer groups and a CSV with facility and episode columns.