Insight Health

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

NPI 1376489633 · Urology · SAN ANTONIO, TX · 41700 metro

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Weighted percent of Medicare, episode, top 20 codes

451%

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

Highest payer

531% Aetna

Lowest payer

242% UnitedHealthcare

Local percentile · over 75th of 55 groupsMedian 86%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
99215CPT 99215Professional only111$0126%—
51798CPT 51798Professional only83$12162%—
99213CPT 99213Professional only77$0128%—
52000CPT 52000Professional only64$0107%—
99214CPT 99214Professional only52$0129%—
51720CPT 51720Professional only47$0113%—
51741CPT 51741Professional only27$0157%—
99205CPT 99205Professional only18$094%—
53445CPT 53445Professional only15$0277%—
99204CPT 99204Professional only13$172132%—
Top 10 of 10 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 55 Urology groups in SAN ANTONIO, TX

Percentiles are computed on the episode figure across 55 confirmed urology NPIs in SAN ANTONIO, TX.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 451%.

Aetna
531%
Cigna
269%
UnitedHealthcare
242%

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

Unlock all 10 codes, named peer groups and a CSV with facility and episode columns.