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Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
METHODIST HOSPITAL FOR SURGERY
ADDISON
GREATER HOUSTON
ANESTHESIOLOGY PA
8%
LABORATORY PHYSICIANS
ASSN
0%
AMARILLO PATHOLOGY ASSOCIATES
LTD
WILLOWBEND DIAGNOSTIC IMAGING PLL
0%
WEST VILLAGE
EMERGENCY PHYSICIANS
98%
SERVICE NOT AVAILABLE
0%
TX HLTH PRESBYTERIAN HOSP ALLEN
ALLEN
ATLAS ANESTHESIA ASSOCIATES
PA
GREATER HOUSTON
ANESTHESIOLOGY PA
8%
MD PATHOLOGY
0%
SOUTHWEST IMAGING AND
INTER VENTIONAL
SPEC PA 0%
TEXAS MEDICINE
RESOURCES
1%
PEDIATRIX MEDICAL GROUP
0%
BAYLOR EMERGENCY MED CTR AUBREY
AUBREY SERVICE NOT AVAILABLE 0% SERVICE NOT
AVAILABLE 0%TEXAS
RADIOLOGY ASSOCIATES
18%
GRIMM, MARTHA A,
MD 100% SERVICE NOT AVAILABLE 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
BAYLOR SCOTT AND WHITE CARROLLTON
CARROLLTON
PINNACLE ANESTHESIA
CONSULTANTS PA
0% AMERIPATH TEXAS 0%
MEDICAL IMAGING OF
DALLAS2%
CENTURY INTEGRATED PARTNERS
INC1%
PEDIATRIX MEDICAL GROUP
0%
TEXAS HEALTH HOSPITAL
CARROLLTON
SOUTHWEST ANESTHESIA
GROUP97% NONE IN
NETWORK 0%
SYNERGY RADIOLOGY ASSOCIATES
PA
12%
NONE IN NETWORK
69% NONE IN NETWORK 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
BAYLOR MEDICAL CENTER AT UPTOWN
DALLAS
DALLAS ANESTHESIOLO
GY ASSOCIATES
GREATER HOUSTON
ANESTHESIOLOGY PA
METROPOLITAN ANESTH
CONSULTANTS
NORTH TEXAS ANESTHESIA
CONSULTANTS PA
3%
AMERIPATH TEXAS
PATHOLOGISTS BIO-
MEDICAL LAB
0%
AMERICAN RADIOLOGY
CONSUL- TANTS PLLC
0%
WEST VILLAGE
EMERGENCY PHYSICIANS
33%
SERVICE NOT AVAILABLE
0%
BAYLOR SCOTT & WHITE HEART AND VA
DALLAS
PINNACLE ANESTHESIA
CONSULTANTS PA
2%PATHOLOGIS
TS BIO-MEDICAL LAB
0%
AMERICAN RADIOLOGY
CONSUL- TANTS PLLC
0%
SERVICE NOT AVAILABLE
44% SERVICE NOT AVAILABLE 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
BAYLOR UNIVERSITY MEDICAL CENTER
DALLAS
NORTHSTAR ANESTHESIA PA
PINNACLE ANESTHESIA
CONSULTANTS PA
1%
PATHOLOGISTS BIO-
MEDICAL LAB
0%
AMERICAN RADIOLOGY
CONSUL- TANTS PLLC
1%
CENTURY INTEGRATED PARTNERS
INC
4%
PEDIATRIX MEDICAL GROUP
3%
CHILDRENS MEDICAL CENTER DALLAS
DALLAS
ANESTHESIOLOGIST FOR CHILDREN
10%
NONE IN NETWORK
0%
UT SOUTHWESTERN MEDICAL
CENTER 1%
CHILDRENS HEALTH MEDICAL GROUP
UT SOUTHWESTERN MEDICAL
CENTER
24%
UT SOUTHWEST
ERN MEDICAL CENTER 0%
CITY HOSPITAL AT WHITE ROCK
DALLAS NONE IN NETWORK 0% NONE IN
NETWORK 0% NONE IN NETWORK 0%
NONE IN NETWORK
0% NONE IN NETWORK 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
MEDICAL CITY DALLAS DALLAS
DALLAS ANESTHESIOLO
GY ASSOCIATES
METROPOLITAN ANESTH
CONSULTANTS
PHYSICIANS ANESTHESIA
SERVICES
16%
MCD PATHOLOGY
1%
RADIOLOGY CONSULTANT
S OF N DALLAS
1%
QUESTCARE MEDICAL
SERVICES PLLC
17%
PEDIATRIX MEDICAL GROUP
1%
METHODIST CHARLTON MEDICAL CENTER
DALLAS
GREATER HOUSTON
ANESTHESIOLOGY PA
0%LABORATORY PHYSICIANS
ASSN4%
RADIOLOGICAL
CONSULTANTS ASSOC
0%
NONE IN NETWORK
99% SERVICE NOT AVAILABLE 0%
METHODIST DALLAS MEDICAL CENTER
DALLAS
GREATER HOUSTON
ANESTHESIOLOGY PA
0%LABORATORY PHYSICIANS
ASSN2%
RADIOLOGICAL
CONSULTANTS ASSOC
0%
NONE IN NETWORK
100%PEDIATRIX MEDICAL GROUP
0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
NORTH CENTRAL SURGICAL CTR
DALLAS
GREATER HOUSTON
ANESTHESIOLOGY PA
7%METROPLEX PATHOLOGY ASSOCIATES
9%TEXAS
NEURORADIOLOGY PA
37%
CAMPION EMERGENCY PHYSICIANS 9% SERVICE NOT
AVAILABLE 0%
OUR CHILDREN'S HOUSE
DALLAS NONE IN NETWORK 0% NONE IN
NETWORK 0% NONE IN NETWORK 0%
NONE IN NETWORK
0% SERVICE NOT AVAILABLE 0%
PARKLAND HEALTH AND HOSPITAL SYS
DALLAS
UT SOUTHWESTER
N MEDICAL CENTER
0%
UT SOUTHWEST
ERN MEDICAL CENTER
0%
UT SOUTHWESTERN MEDICAL
CENTER
1%
UT SOUTHWESTERN MEDICAL
CENTER34%
UT SOUTHWEST
ERN MEDICAL CENTER
0%
PINE CREEK MEDICAL CENTER
DALLAS
ANESTHESIA ALLIANCE OF
DALLAS PA
GREATER HOUSTON
ANESTHESIOLOGY PA
49%
PROPATH ASSOCIATES
PLLC
8%
RADIOLOGY ASSOCIATES
OF NORTH TEX
0%
ACCESS PHYSICIANS
PLLC
100%
SERVICE NOT AVAILABLE
0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN
DALLAS TX SCOTTISH RITE HOSP FOR 10%
TX SCOTTISH RITE HOSP
FOR0%
TX SCOTTISH RITE HOSP
FOR3%
NONE IN NETWORK
0% SERVICE NOT AVAILABLE 0%
TX HLTH PRESBYTERIAN HOSP DALLAS
DALLAS
ANESTHESIA PARTNERS OF
DALLAS PA
ATLAS ANESTHESIA ASSOCIATES
PA
GREATER HOUSTON
ANESTHESIOLOGY PA
NORTHSTAR ANESTHESIA PA
49%
NORTH DALLAS
PATHOLOGY SERVICES PA
3%
SOUTHWEST IMAGING AND
INTER VENTIONAL
SPEC PA
TEXAS RADIOLOGY ASSOCIATES
1%
TEXAS MEDICINE
RESOURCES
1%
PEDIATRIX MEDICAL GROUP
1%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TX INST SURG TX HLTH PRESBY HOSP
DALLAS
ATLAS ANESTHESIA ASSOCIATES
PA
BMW ANESTHESIOLO
GY PA
EXCEL ANESTHESIA PA
40%
NORTH DALLAS
PATHOLOGY SERVICES PA
3%
TEXAS RADIOLOGY ASSOCIATES
0%
TEXAS MEDICINE
RESOURCES
100%
SERVICE NOT AVAILABLE
0%
UT SOUTHWESTERN UNIVERSITY HOSP
DALLAS
UT SOUTHWESTER
N MEDICAL CENTER
2%NONE IN
NETWORK 0%NONE IN
NETWORK 7%
UT SOUTHWESTERN MEDICAL
CENTER6%
NONE IN NETWORK 0%
UTSW UNIVERSITY HOSP ZALE LIPSHY
DALLAS
UT SOUTHWESTER
N MEDICAL CENTER
0%
UT SOUTHWEST
ERN MEDICAL CENTER
4%
UT SOUTHWESTERN MEDICAL
CENTER
0%
UT SOUTHWESTERN MEDICAL
CENTER27% SERVICE NOT
AVAILABLE 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TEXOMA MEDICAL CENTER
DENISON
PINNACLE ANESTHESIA
CONSULTANTS P
PINNACLE ANESTHESIA
CONSULTANTS PA
1%
NONE IN NETWORK
0%
SHERMAN RADIOLOGY ASSOCIATES
0%
NONE IN NETWORK
98%
SERVICE NOT AVAILABLE
0%
MEDICAL CITY DENTON DENTON
ATLAS ANESTHESIA ASSOCIATES
PA
GREATER HOUSTON
ANESTHESIOLOGY PA
0%
AFFILIATED PATHOLOGIS
TS PA
0%
TEXAS RADIOLOGY ASSOCIATES
0%
QUESTCARE MEDICAL
SERVICES PLLC
18%
SHERIDAN HEALTHCARE OF TEXASPA
0%
THE HEART HOSPITAL BAYLOR DENTON
DENTON SERVICE NOT AVAILABLE 0%
PATHOLOGISTS BIO-
MEDICAL LAB0%
TEXAS RADIOLOGY ASSOCIATES
0%
CENTURY INTEGRATED PARTNERS
INC26% SERVICE NOT
AVAILABLE 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TX HLTH PRESBY HOSPITAL DENTON
DENTONMETROPOLITAN
ANESTH CONSULTANTS
0% AMERIPATH TEXAS 1%
DENTON RADIOLOGY
LLP0%
TEXAS MEDICINE
RESOURCES 11%PEDIATRIX MEDICAL GROUP
14%
DALLAS MEDICAL CENTER LLC
FARMERS BRANCH
ANESTHESIA ALLIANCE OF
DALLAS PA
RICARDO SEPULVEDA
MDPA
SCOTT DAVIS DOPA
25%
AMERIPATH TEXAS
16%
MEDICAL IMAGING OF
DALLAS
2%
NONE IN NETWORK
99%
PEDIATRIX MEDICAL GROUP
0%
TEXAS HEALTH BEHAVIORAL HEALTH CE
FLOWER MOUND
NONE IN NETWORK 0% NONE IN
NETWORK 0% NONE IN NETWORK 0%
NONE IN NETWORK
0% NONE IN NETWORK 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TX HLTH PRESBY HOSP FLOWER MOUND
FLOWER MOUND
GREATER HOUSTON
ANESTHESIOLOGY PA
PINNACLE ANESTHESIA
CONSULTANTS PA
0%
MD PATHOLOGY
0%
TEXAS RADIOLOGY ASSOCIATES
0%
EMERGENCY MEDICINE
PHYSICIANS OF
0%
NONE IN NETWORK
19%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
BAYLOR SCOTT & WHITE MEDICAL CENT
FRISCO
DALLAS ANESTHESIOLO
GY ASSOCIATES
GREATER HOUSTON
ANESTHESIOLOGY PA
NCAC ANESTHESIA
CONSULTANTS PA
NORTHSTAR ANESTHESIA PA
TX AN OBSTETRICS ANESTHESIA
LLP
31%
AMERIPATH TEXAS
0%
TEXAS RADIOLOGY ASSOCIATES
0%
NONE IN NETWORK
99%
SERVICE NOT AVAILABLE
0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
BAYLOR SCOTT WHITE MED CTR FRISCO
FRISCO
GREATER HOUSTON
ANESTHESIOLOGY PA
0%
NORTH TEXAS
PATHOLOGY SERVICES PA
0%TEXAS
RADIOLOGY ASSOCIATES
0%
CENTURY INTEGRATED PARTNERS
INC99%
MAGELLA MEDICAL ASSOC
BILLING INC
0%
MEDICAL CITY FRISCO A MEDICAL CEN
FRISCO SERVICE NOT AVAILABLE 0% SERVICE NOT
AVAILABLE 0% SERVICE NOT AVAILABLE 0%
SERVICE NOT AVAILABLE
0% SERVICE NOT AVAILABLE 0%
BAYLOR MEDICAL CENTER AT IRVING
IRVINGSERVICE NOT
AVAILABLE 0%IRVING
LABORATORIES PA
0%
IRVING RADIOLOGICA
L ASSOCIATES
LLP
0%
CENTURY INTEGRATED PARTNERS
INC7%
PEDIATRIX MEDICAL GROUP
0%
IRVING COPPELL SURGICAL HOSPITAL AN AFFILIATE OF B
IRVING
GREATER HOUSTON
ANESTHESIOLOGY PA
0%IRVING
LABORATORIES PA
0%
IRVING RADIOLOGICA
L ASSOCIATES
LLP
0%
CAMPION EMERGENCY PHYSICIANS 22%
SERVICE NOT AVAILABLE 0%
MEDICAL CITY LAS COLINAS IRVING
GREATER HOUSTON
ANESTHESIOLOGY PA
0%PROPATH
ASSOCIATES PLLC
2%TEXAS
RADIOLOGY ASSOCIATES
0%
QUESTCARE MEDICAL
SERVICES PLLC
51%SHERIDAN
HEALTHCARE OF TEXASPA
0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TX HLTH PRESBYTERIAN HOSP KAUFMAN
KAUFMAN NORTHSTAR ANESTHESIA PA 0% NONE IN
NETWORK 0% NONE IN NETWORK 0%
TEXAS MEDICINE
RESOURCES 1% SERVICE NOT AVAILABLE 0%
CRESCENT MEDICAL CENTER LANCASTER
LANCASTER
NONE IN NETWORK 0% NONE IN
NETWORK 0% NONE IN NETWORK 0%
NONE IN NETWORK
0% NONE IN NETWORK 0%
MEDICAL CITY LEWISVILLE
LEWISVILLE
GREATER HOUSTON
ANESTHESIOLOGY PA
METROPOLITAN ANESTH
CONSULTANTS
2%
PROPATH ASSOCIATES
PLLC
0%
MEDICAL IMAGING OF
DALLAS
0%
QUESTCARE MEDICAL
SERVICES PLLC
16%
SHERIDAN HEALTHCARE OF TEXASPA
3%
BAYLOR SCOTT AND WHITE MCKINNEY
MCKINNEY
PINNACLE ANESTHESIA
CONSULTANTS PA
4%PATHOLOGIS
TS BIO-MEDICAL LAB
0%TEXAS
RADIOLOGY ASSOCIATES
0%
CENTURY INTEGRATED PARTNERS
INC4%
PEDIATRIX MEDICAL GROUP
1%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
MEDICAL CITY MCKINNEY MCKINNEY
GREATER HOUSTON
ANESTHESIOLOGY PA
MITESH J PATEL MDPA
STEVE HA HOANG TRAN
MD
1%
PROPATH ASSOCIATES
PLLC
1%
TEXAS RADIOLOGY ASSOCIATES
0%
QUESTCARE MEDICAL
SERVICES PLLC
11%
SHERIDAN HEALTHCARE OF TEXASPA
5%
METHODIST MCKINNEY HOSPITAL
MCKINNEY
ATLAS ANESTHESIA ASSOCIATES
PA
22%
LABORATORY PHYSICIANS
ASSN
0%
RADIOLOGICAL
CONSULTANTS ASSOC
TEXAS RADIOLOGY ASSOCIATES
0%
EMCARE RSN EMERGENCY PHYSICIANS
36%
SERVICE NOT AVAILABLE
0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
BAYLOR EMERGENCY MED CTR MURPHY
MURPHY
GREATER HOUSTON
ANESTHESIOLOGY PA
0% SERVICE NOT AVAILABLE 0% NIGHTRAYS
PA 14%
CENTURY INTEGRATED PARTNERS
INC99% SERVICE NOT
AVAILABLE 0%
BAYLOR SCOTT &WHITE MED CTR PLANO
PLANO
DALLAS ANESTHESIOLO
GY ASSOCIATES
NORTHSTAR ANESTHESIA PA
8%
PATHOLOGISTS BIO-
MEDICAL LAB
0%
TEXAS RADIOLOGY ASSOCIATES
0%
CENTURY INTEGRATED PARTNERS
INC
4%
SERVICE NOT AVAILABLE
0%
CHILDRENS MEDICAL CENTER PLANO
PLANO
ANESTHESIOLOGIST FOR CHILDREN
1%
NONE IN NETWORK
0%
UT SOUTHWESTERN MEDICAL
CENTER 2%
CHILDRENS HEALTH MEDICAL GROUP
UT SOUTHWESTERN MEDICAL
CENTER
33%
UT SOUTHWEST
ERN MEDICAL CENTER 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
MEDICAL CITY PLANO PLANO
ANESTHESIOLOGY
CONSULTANT OF N TX
ATLAS ANESTHESIA ASSOCIATES
PA
DALLAS ANESTHESIOLO
GY ASSOCIATES
NOBLE ANESTHESIA PARTNERS
PLLC
13%
PATHOLOGISTS BIO-
MEDICAL LAB
0%
RADIOLOGY CONSULTANT
S OF N DALLAS
0%
CENTURY INTEGRATED PARTNERS
INC
11%
SHERIDAN HEALTHCARE OF TEXASPA
4%
THE HEART HOSPITAL BAYLOR PLANO
PLANO SERVICE NOT AVAILABLE 1%
PATHOLOGISTS BIO-
MEDICAL LAB0%
TEXAS RADIOLOGY ASSOCIATES
0%
CENTURY INTEGRATED PARTNERS
INC21% SERVICE NOT
AVAILABLE 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TX HLTH CTR DIAGNOSTICS & SURGERY
PLANO
GREATER HOUSTON
ANESTHESIOLOGY PA
8% MD PATHOLOGY 0%
TEXAS RADIOLOGY ASSOCIATES
0%
TEXAS MEDICINE
RESOURCES 100% SERVICE NOT AVAILABLE 0%
TX HLTH PRESBYTERIAN HOSP PLANO
PLANO
GREATER HOUSTON
ANESTHESIOLOGY PA
PARKHILL PHYSICIAN
GROUP PLLC
6%
MD PATHOLOGY
0%
SOUTHWEST IMAGING AND
INTER VENTIONAL
SPEC PA
TEXAS RADIOLOGY ASSOCIATES
0%
TEXAS MEDICINE
RESOURCES
2%
PEDIATRIX MEDICAL GROUP
0%
METHODIST RICHARDSON MECDICAL CEN
RICHARDSON
NONE IN NETWORK 0% NONE IN
NETWORK 0% NONE IN NETWORK 0%
NONE IN NETWORK
0% NONE IN NETWORK 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
METHODIST RICHARDSON MEDICAL CTR
RICHARDSON
GARLAND ANESTHESIA
CONSULTANTS PA
GREATER HOUSTON
ANESTHESIOLOGY PA
MARK E SEGAL
METROPOLITAN ANESTH
CONSULTANTS
37%
AMERIPATH TEXAS
2%
TEXAS RADIOLOGY ASSOCIATES
2%
EMCARE RSN EMERGENCY PHYSICIANS
37%
SERVICE NOT AVAILABLE
29%
BAYLOR EMERGENCY MEDICAL CENTER
ROCKWALLMETROPOLITAN
ANESTH CONSULTANTS
0%
NORTH TEXAS
PATHOLOGY SERVICES PA
0%
AMERICAN RADIOLOGY
CONSUL- TANTS PLLC
17%
CENTURY INTEGRATED PARTNERS
INC100% SERVICE NOT
AVAILABLE 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
TX HEALTH PRESBY HOSP ROCKWALL
ROCKWALL
METROPOLITAN ANESTH
CONSULTANTS
METROPOLITAN ANESTHESIA CONSULTAN
1%
NORTH TEXAS
PATHOLOGY SERVICES PA
0%
HEALTHCARE ASSOCIATES
OF IRVING LLP
IRVING RADIOLOGICA
L ASSOCIATES
LLP
0%
TEXAS MEDICINE
RESOURCES
2%
SERVICE NOT AVAILABLE
39%
BAYLOR SCOTT & WHITE LAKE POINTE
ROWLETTMETROPOLITAN
ANESTH CONSULTANTS
0%
NORTH TEXAS
PATHOLOGY SERVICES PA
0%LAKE POINTE RADIOLOGY
ASSOCI1%
RAY HUBBARD
EMERGENCY PHYSICIANS
99% SERVICE NOT AVAILABLE 50%
BAYLOR SCOTT & WHITE SURGICAL HSP
SHERMAN
GREATER HOUSTON
ANESTHESIOLOGY PA
1%
AMERIPATH TEXAS
PROPATH ASSOCIATES
PLLC
0%
SHERMAN RADIOLOGY ASSOCIATES
5%
CENTURY INTEGRATED PARTNERS
INC
30%
SERVICE NOT AVAILABLE
0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
Dallas Texas Hospital Based Physicians
Counties: Collin, Dallas, Denton, Grayson, Kaufman, Rockwall
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
Anesthesiology Pathology Radiology Emergency Room Physician / Group Neonatology
Hospital / Facility Name City Provider(s)
% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
Provider(s)% Dollars Billed Out
of Network
WILSON N JONES REGIONAL MED CTR
SHERMAN
NORTHSTAR ANESTHESIA PA
PINNACLE ANESTHESIA
CONSULTANTS PA
WEATHERFORD ANESTHESIA ASSOCIATES
PA
0%
NONE IN NETWORK
0%
TEXAS RADIOLOGY ASSOCIATES
0%
REPUBLIC EMERGENCY
SERVICES
96%
SERVICE NOT AVAILABLE
0%
BAYLOR SCOTT & WHITE SUNNYVALE
SUNNYVALE
GREATER HOUSTON
ANESTHESIOLOGY PA
0% SERVICE NOT AVAILABLE 0% SERVICE NOT
AVAILABLE 1%
NONE IN NETWORK
100%
NEWBORN INTENSIVE
CARE SPECIALIST
0%
TROPHY CLUB MEDICAL CENTER
TROPHY CLUB
GREATER HOUSTON
ANESTHESIOLOGY PA
63%PATHOLOGIS
TS BIO-MEDICAL LAB
0%
RADIOLOGY ASSOCIATES
OF NORTH TEX
0%
TEXAS EMERGENCY
STAFFING SOLUTION
71% SERVICE NOT AVAILABLE 0%
* Total Dollar Amounts Billed 01/2017 - 12/2017A Division of Health Care Service Corporation, A Mutual Legal Reserve Corporation
An Independent Licensee of the Blue Cross and Blue Shield Association
BlueChoice PPO℠ Current as of June 2018
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