Insight Health

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Orthopedics · HOUSTON, TX · 26420 metro

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Weighted percent of Medicare, episode, top 20 codes

221%

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

Highest payer

228% Aetna

Lowest payer

191% UnitedHealthcare

Local percentile · 62nd of 339 groupsMedian 170%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99213CPT 99213Professional only47$9682%—
99203CPT 99203Professional only18$091%—
99214CPT 99214Professional only14$081%—
Top 3 of 3 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 339 Orthopedics groups in HOUSTON, TX

Percentiles are computed on the episode figure across 339 confirmed orthopedics NPIs in HOUSTON, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 221%.

Aetna
228%
Cigna
213%
UnitedHealthcare
191%

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

Unlock all 3 codes, named peer groups and a CSV with facility and episode columns.