Insight Health

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

NPI 1922401033 · Gastroenterology · DALLAS, TX · 19100 metro

TEXAS HEALTH HOSPITAL FRISCO
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Weighted percent of Medicare, episode, top 20 codes

275%

Mean episode $4,272 · professional $873 · facility $3,400, on the 128 rows with both

Highest payer

291% UnitedHealthcare

Lowest payer

244% Cigna

Local percentile · over 75th of 287 groupsMedian 86%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99214CPT 99214Professional only1,945$0106%—
43239CPT 43239TEXAS HEALTH HOSPITAL FRISCO1,325$0111%—
45380CPT 45380TEXAS HEALTH HOSPITAL FRISCO1,218$0134%—
99215CPT 99215Professional only692$0108%—
45385CPT 45385TEXAS HEALTH HOSPITAL FRISCO683$0160%—
99213CPT 99213Professional only399$0104%—
99204CPT 99204Professional only372$0108%—
99205CPT 99205Professional only244$0111%—
43235CPT 43235TEXAS HEALTH HOSPITAL FRISCO180$0138%—
43264CPT 43264TEXAS HEALTH HOSPITAL FRISCO119$0160%—
43238CPT 43238TEXAS HEALTH HOSPITAL FRISCO103$0130%—
43274CPT 43274TEXAS HEALTH HOSPITAL FRISCO98$0142%—
43237CPT 43237TEXAS HEALTH HOSPITAL FRISCO76$0142%—
91010CPT 91010Professional only65$68200%—
99203CPT 99203Professional only49$0104%—
45378CPT 45378TEXAS HEALTH HOSPITAL FRISCO29$093%—
91038CPT 91038Professional only27$0126%—
99212CPT 99212Professional only22$099%—
43262CPT 43262TEXAS HEALTH HOSPITAL FRISCO17$0121%—
43251CPT 43251TEXAS HEALTH HOSPITAL FRISCO15$079%—
Top 20 of 25 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 25 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 287 Gastroenterology groups in DALLAS, TX

Percentiles are computed on the episode figure across 287 confirmed gastroenterology NPIs in DALLAS, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 275%.

Aetna
277%
Cigna
244%
UnitedHealthcare
291%

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

Unlock all 25 codes, named peer groups and a CSV with facility and episode columns.