Insight Health

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

NPI 1457802472 · Otolaryngology (ENT) · GALVESTON, TX · 26420 metro

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Weighted percent of Medicare, episode, top 20 codes

273%

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

Highest payer

281% Aetna

Lowest payer

230% UnitedHealthcare

Local percentile · 72nd of 172 groupsMedian 120%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
31231CPT 31231Professional only236$076%—
99204CPT 99204Professional only71$098%—
99213CPT 99213Professional only66$9594%—
31237CPT 31237Professional only39$090%—
99214CPT 99214Professional only36$13595%—
61782CPT 61782Professional only14$0143%—
99203CPT 99203Professional only14$095%—
Top 7 of 7 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.

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 172 Otolaryngology (ENT) groups in GALVESTON, TX

Percentiles are computed on the episode figure across 172 confirmed otolaryngology (ent) NPIs in GALVESTON, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 273%.

Aetna
281%
Cigna
271%
UnitedHealthcare
230%

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

Unlock all 7 codes, named peer groups and a CSV with facility and episode columns.