Insight Health

THE OREGON CLINIC, PC

NPI 1285168872 · Urology · PORTLAND, OR · 38900 metro

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Weighted percent of Medicare, episode, top 20 codes

305%

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

Highest payer

389% Cigna

Lowest payer

125% Aetna

Local percentile · over 75th of 39 groupsMedian 229%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only1,891$0137%—
51798CPT 51798Professional only1,739$0237%—
99214CPT 99214Professional only1,440$0144%—
99204CPT 99204Professional only832$0150%—
52000CPT 52000Professional only734$0126%—
76872CPT 76872Professional only343$33—436%—
52442CPT 52442Professional only198$956—251%—
99203CPT 99203Professional only167$0127%—
51702CPT 51702Professional only115$0104%—
52332CPT 52332Professional only105$401124%—
52356CPT 52356Professional only103$368179%—
52310CPT 52310Professional only80$319206%—
96402CPT 96402Professional only69$42—246%—
99212CPT 99212Professional only57$0108%—
99215CPT 99215Professional only48$0221%—
51720CPT 51720Professional only43$98—330%—
51741CPT 51741Professional only40$16237%—
52441CPT 52441Professional only37$1,365—255%—
52287CPT 52287Professional only25$389—191%—
99205CPT 99205Professional only19$248—223%—
Top 20 of 24 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 24 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 39 Urology groups in PORTLAND, OR

Percentiles are computed on the episode figure across 39 confirmed urology NPIs in PORTLAND, OR.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 305%.

Aetna
125%
Cigna
389%
UnitedHealthcare
349%

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

Unlock all 24 codes, named peer groups and a CSV with facility and episode columns.