Insight Health

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

NPI 1194915207 · Otolaryngology (ENT) · DALLAS, TX · 19100 metro

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Weighted percent of Medicare, episode, top 20 codes

243%

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

Highest payer

251% Aetna

Lowest payer

205% UnitedHealthcare

Local percentile · 59th of 133 groupsMedian 162%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only2,039$099%—
99214CPT 99214Professional only1,901$135100%—
99204CPT 99204Professional only999$0102%—
31575CPT 31575Professional only629$092%—
31579CPT 31579Professional only463$095%—
93296CPT 93296Professional only430$32467%—
31231CPT 31231Professional only355$19280%—
99203CPT 99203Professional only353$099%—
93294CPT 93294Professional only296$29511%—
93298CPT 93298Professional only235$103117%—
99215CPT 99215Professional only233$0102%—
93280CPT 93280Professional only179$0343%—
99205CPT 99205Professional only157$0108%—
93295CPT 93295Professional only123$36750%—
64617CPT 64617Professional only104$0397%—
69210CPT 69210Professional only103$097%—
93228CPT 93228Professional only80$25417%—
31237CPT 31237Professional only56$094%—
93284CPT 93284Professional only44$104397%—
99212CPT 99212Professional only44$092%—
Top 20 of 37 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 37 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 133 Otolaryngology (ENT) groups in DALLAS, TX

Percentiles are computed on the episode figure across 133 confirmed otolaryngology (ent) NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 243%.

Aetna
251%
Cigna
236%
UnitedHealthcare
205%

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

Unlock all 37 codes, named peer groups and a CSV with facility and episode columns.