texas npos - humana

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* Total Dollar Amounts Billed 01/1/2019 - 12/31/2019 1 Hospital City Provider % Dollars Billed Out of Network* Provider % Dollars Billed Out of Network* Provider % Dollars Billed Out of Network* Provider % Dollars Billed Out of Network* Provider % Dollars Billed Out of Network* Hendrick Medical Center Abilene Hendrick Anesthesia Network 0% Clinical Pathology Associates 0% Radiology Associates of Abilene 0% Falcon Emergency Physicians PLLC; Texas EM-1 Medical Services 0% Service not available 0% Hendrick Medical Center South Abilene Clinical Partners PA 0% Clinical Pathology Associates 0% West Texas Radiology Group 0% Timothy P Bauman DO PA; Taylor Emergency Medicine Associates, PA; Taylor HM Physician Services PA 0% Millennium Neonatology PLLC 0% Methodist Hospital For Surgery Addison US Anesthesia Partners of Texas PA 0% Laboratory Physician Association 0% Methodist Center for Diagnostic Imaging 0% Town Of Addison Emergency Physicians 0% Service not available 0% Christus Spohn Hospital Alice Alice EmergencHealth 0% None in network 100% Radiology and Imaging of South Texas 0% Guadalupe Emergency Medicine Associates 5% Service not available 0% Texas Health Presbyterian Hospital Allen Allen None in network 100% MD Pathology 0% None in network 100% TeamHealth ER 61% Pediatrix Medical Group of Texas 0% Big Bend Regional Medical Center Alpine YPS Anesthesia LLC 0% Rio Grande Pathology Services PA 0% Gerhard Moeller, MD 0% Brewster Emergency Medicine Associates PA 0% Service not available 0% Baptist St Anthonys Health System Amarillo US Anesthesia Partners of Texas PA 0% Amarillo Pathology Associates 0% High Plains Radiological Association 0% LHH Emergency Physicians PLLC; Texas EM - 1 Medical Services PA; Amarillo Emergency Physicians LLP 0% Pediatrix Medical Group of Texas 0% Physicians Surgical Hospitals LLC Amarillo Reg Martin PA, Panhandle Anesthesia Services LLP 100% Amarillo Pathology Associates 0% High Plains Radiological Association 0% Service not available 0% Service not available 0% Physicians Surgical Hospitals LLC Amarillo Anesthesia Services of Amarillo, Anthem Anesthesia, RNC Anethesia, Reg Martin PA, Thane Morgan MD PA 100% Amarillo Pathology Associates 0% High Plains Radiological Association 0% Service not available 0% Service not available 0% National POS - Open Access Current as of October 2021 Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale, Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell, Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood Anesthesiology Pathology Radiology Emergency Physicians Neonatology 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

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Page 1: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20191

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Hendrick Medical Center Abilene Hendrick Anesthesia Network 0% Clinical Pathology Associates 0% Radiology Associates of Abilene

0%Falcon Emergency Physicians PLLC; Texas EM-1 Medical Services

0% Service not available 0%

Hendrick Medical Center South Abilene Clinical Partners PA 0% Clinical Pathology Associates 0% West Texas Radiology Group 0%

Timothy P Bauman DO PA; Taylor Emergency Medicine Associates, PA; Taylor HM Physician Services PA

0% Millennium Neonatology PLLC 0%

Methodist Hospital For Surgery Addison

US Anesthesia Partners of Texas PA 0%

Laboratory Physician Association 0%

Methodist Center for Diagnostic Imaging 0%

Town Of Addison Emergency Physicians 0% Service not available 0%

Christus Spohn Hospital Alice Alice EmergencHealth 0% None in network 100%

Radiology and Imaging of South Texas 0%

Guadalupe Emergency Medicine Associates 5% Service not available 0%

Texas Health Presbyterian Hospital Allen Allen None in network 100% MD Pathology 0% None in network 100% TeamHealth ER 61% Pediatrix Medical Group of Texas 0%

Big Bend Regional Medical Center Alpine YPS Anesthesia LLC 0%

Rio Grande Pathology Services PA 0% Gerhard Moeller, MD 0%

Brewster Emergency Medicine Associates PA 0% Service not available 0%

Baptist St Anthonys Health System Amarillo

US Anesthesia Partners of Texas PA 0% Amarillo Pathology Associates   0%

High Plains Radiological Association   0%

LHH Emergency Physicians PLLC; Texas EM - 1 Medical Services PA; Amarillo Emergency Physicians LLP

0% Pediatrix Medical Group of Texas 0%

Physicians Surgical Hospitals LLC Amarillo

Reg Martin PA, Panhandle Anesthesia Services LLP 100% Amarillo Pathology Associates   0%

High Plains Radiological Association   0% Service not available 0% Service not available 0%

Physicians Surgical Hospitals LLC Amarillo

Anesthesia Services of Amarillo, Anthem Anesthesia, RNC Anethesia, Reg Martin PA, Thane Morgan MD PA

100% Amarillo Pathology Associates   0%High Plains Radiological Association   0% Service not available 0% Service not available 0%

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Page 2: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20192

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Bayside Community Hospital Anahuac

US Anesthesia Partners of Texas PA 0% None in network 0%

Houston Northwest Radiology Assoc 0% None in network 0% Service not available 0%

Permian Regional Medical Center Andrews PRMC Anesthesia Services 0%

Community Pathology Associates 0%

High Plains Radiological Associates 0%

Concord Medical Group of Texas PLLC 100% Service not available 0%

UTMB Angleton Danbury Angleton UTMB Faculty Group Practice 0% UTMB Faculty Group Practice 0% UTMB Faculty Group Practice 0% Envision Physician Services 0% UTMB Faculty Group Practice 0%

Anson General Hospital Anson Service not available 0% Service not available 0%Radiology Associates of Abilene 0%

Concord Medical Group; Concord Medical Group of Texas

0% Service not available 0%

Wise Health Emergency Center Argyle Service not available 100% Service not available 0% Service not available 0% None in network 0% Service not available 0%

Baylor Scott & White Orthopedic and Spine Hospital

ArlingtonUS Anesthesia Partners of Texas PA 0%

Arlington Pathology Association 5.01(a) Corp 0%

American Radiology Consultants LLC 0%

Rush Creek Emergency Physicians 0% Service not available 0%

Medical City Arlington ArlingtonUS Anesthesia Partners of Texas PA 0%

Ameripath Pathologists Biomedical (PBM) 0% Medical Imaging of Dallas 69% Questcare Medical Services 0% Sheridan Healthcare of Texas PA 0%

Texas Health Arlington Memorial Hospital Arlington

US Anesthesia Partners of Texas PA 0%

Ameripath Pathologists Biomedical (PBM) 0% None in network 0% TeamHealth ER 19% Pediatrix Medical Group of Texas 0%

Texas Health Heart and Vascular Hospital Arlington Arlington

Noble Anesthesia Partners PLLC 0%

Arlington Pathology Association 5.01(a) Corp 0% None in network 0% None in network 0% Service not available 0%

Page 3: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20193

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

USMD Hospital at Arlington LP Arlington

US Anesthesia Partners of Texas PA 0%

Arlington Pathology Association 5.01(a) Corp 0%

Radiology Associates of North Texas 0%

Burbot Emergency Physicians 0% Service not available 0%

Stonewall Memorial Hospital Aspermont Service not available 0% Service not available 0% Radiology Partners 0% Frederic K. Passmann, MD 0% Service not available 0%

Christus St Michael Hospital Atlanta Atlanta Service not available 0% Delta Pathology 0% Radiology Consultans, LLP 0%

Emergency Staffing Services 0% Services not available 0%

Baylor Emergency Medical Center at Aubrey Aubrey Service not available 0% Service not available 0% Service not available 0% None in network 100% Service not available 0%

Arise Austin Medical Center Austin Westlake Anesthesia Group 0% Clinical Pathology Associates 0% RadPartners 0% Service not available 0% Service not available 0%

Ascension Medical Center Austin Austin

US Anesthesia Partners of Texas PA; Seton Family of Doctors

0% Clinical Pathology Labs 0%Austin Radiological Association PA 0%

Travis County Emergency Physicians; Seton Family of Doctors

0% Pediatrix Medical Group of Texas 0%

Ascension Seton Northwest AustinUS Anesthesia Partners of Texas PA 0%

Austin Pathology Associates PA; Clinical Pathology Associates

0%Austin Radiological Association PA 0%

Travis County Emergency Physicians; Third Coast Emergency Physicians - Southwest PA

0% Pediatrix Medical Group of Texas 0%

Ascension Seton Southwest AustinUS Anesthesia Partners of Texas PA 0% Clinical Pathology Labs 0%

Austin Radiological Association PA 0%

Travis County Emergency Physicians; Third Coast Emergency Physicians - Southwest PA

0% Service not available 0%

Baylor Scott and White Medical Center Austin Austin Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0%

Dell Childrens Medical Center Austin

US Anesthesia Partners of Texas PA 0%

Austin Pathology Associates PA; Clinical Pathology Associates; Travis Pathology Associates

0%Austin Radiological Association PA 0%

Travis County Emergency Physicians; Bcep PA 1% Pediatrix Medical Group of Texas 0%

Page 4: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20194

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Dell Seton Medical Center at University of Texas Austin

US Anesthesia Partners of Texas PA 0% Clinical Pathology Associates 0%

Austin Radiological Association PA 0%

Travis County Emergency Physicians 2% Pediatrix Medical Group of Texas 0%

Heart Hospital of Austin, a Campus of St David's Medical Ctr

AustinCardiovascular Anesthesiology; Scott and White Clinic

0%Austin Pathology Associates PA; Travis Pathology Associates 0%

Austin Radiological Association PA 0%

Longhorn Emergency Medical Associates PA 0% Service not available 0%

North Austin Medical Center Austin

Austin Anesthesiology Group PLLC 0%

Austin Pathology Associates PA; Clinical Pathology Associates

0%Austin Radiological Association PA 0%

Longhorn Emergency Medical Associates PA 1% Pediatrix Medical Group of Texas 6%

Northwest Hills Surgical Hospital Austin

US Anesthesia Partners of Texas PA 0% Clinical Pathology Associates 0%

Austin Radiological Association PA 0% None in network 0% Service not available 0%

South Austin Hospital AustinAustin Anesthesiology Group PLLC 0%

Austin Pathology Associates PA; Travis Pathology Associates 0%

Austin Radiological Association PA 0%

Longhorn Emergency Medical Associates PA 1% Pediatrix Medical Group of Texas 0%

St Davids Hospital Austin Austin Anesthesiology Group PLLC

0% Clinical Pathology Associates 0% Central Texas Imaging Center 0%

Longhorn Emergency Medical Associates PA; Hyperbaric Medicine Cons; UT Health Physicians

0% Pediatrix Medical Group of Texas 0%

St Davids Surgical Hospital AustinAustin Anesthesiology Group PLLC 0% Austin Pathology Associates PA 0%

Austin Radiological Association PA 0% Team Health ER 1% Pediatrix Medical Group of Texas 6%

Texas Health Harris Methodist Hospital Azle Azle Northstar Anesthesia PA 0% None in network 0% None in network 0% TeamHealth ER 0% Service not available 0%

Ballinger Memorial Hospital Ballinger Service not available 0% LabCorp 0% Concord Radiology 0% Ballinger Memorial Hospital 0% Service not available 0%

Page 5: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20195

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Ascension Seton Bastrop Bastrop Service not available 0% Clinical Pathology Associates 0%Austin Radiological Association PA 0% Emergency Service Partners 0% Service not available 0%

Matagorda Regional Medical Center Bay City None in network 0%

Community Pathology Associates 0% Singleton Associates 0%

Bay Prairie Emergency Physicians PLLC(Emcare) & Texas EM-1 Medical Services PA(Emcare)

0% Service not available 0%

Houston Methodist Baytown Hospital Baytown

US Anesthesia Partners of Texas PA 0% Methodist Pathology Associates 0% Houston Radiology Associated 10%

San Jacinto Emergency Physicians 97% Texas Childrens Physician Group 7%

Baptist Beaumont Hospital Beaumont None in network 95%Diagnostic Pathology Associates 0% Coastal Imaging Associates 0% None in network 100% Pediatrix Medical Group of Texas,

Snehal Doshi MD, Harashada Luhar, MD

0%

Christus Hospital St Elizabeth Hospital Beaumont

Huang Xisong, MD, Guoxin Wu, MD 97%

Beaumont Pathology Associates PA 0% Radiology Associates, 0%

Sound Physicians Emergency Medicine of Texas, PLLC

63% Pediatrix Medical Group of Texas 0%

Texas Health Harris Methodist Hospital Hurst Euless Bedford

BedfordUS Anesthesia Partners of Texas PA 0% Propath Associates 0% None in network 100% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Christus Spohn Hospital Beeville Beeville EmergencHealth 0% None in network 100%

Radiology and Imaging of South Texas 0%

Guadalupe Emergency Medicine Associates 5% Service not available 0%

Bellville Medical Center BellvillePerformance Anesthesia Services LLC 0% Brazos Valley Pathology 0% Bryan Radiology Associates 0%

Concord Medical Group of Texas 0% Service not available 0%

Scenic Mountain Medical Center Big Spring

Scenic Mountain Anesthesia Services LLC 0% AmeriPath Texas LP 0%

High Plains Radiological Associates 0%

Concord Medical Group of Texas PLLC 0% Service not available 0%

Page 6: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20196

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Methodist Boerne Emergency Center Boerne Service not available 0%

South Texas Pathology Associates 0% South Texas Radiology Group 0%

Texas EM-I Medical Services, Floyd Ridge Emergency Physicians

0% Service not available 1%

Golden Plains Community Hospital Borger

Golden Plains Community Hospital 0% Amarillo Pathology Associates   0% RFC Radiology Associates 0% None in network 0% Service not available 0%

Heart of Texas Memorial Hosp Brady

Heart of Texas Memorial Hospital 0% Service not available 0%

Community Radiology Associates 0%

Victoria Emergency Partners 0% Service not available 0%

Stephens Memorial Hospital Breckenridge Robert T. Laird, CRNA 0% Clinical Pathology Associates 0% Stonewall Memorial Hospital 0%Concord Medical Group of Texas PLLC 0% Service not available 0%

Baylor Scott and White Medical Center Brenham Brenham Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0%

Century Integrated Partners Inc 0% Service not available 0%

Brownfield Regional Medical Center Brownfield

Brownfield Regional Medical Center 0% Ameripath Lubbock 0% High Plains Radiology 0%

Concord Medical Group of Texas 0% Service not available 0%

Valley Baptist Medical Center Brownsville Brownsville None in network 100%

Pathology Associates of South Texas 100%

Valley Radiology and Associates 0%

Travis County Emergency Physicians 100%

Brownsville Associates in Neonatology 28%

Valley Regional Medical Center Brownsville Northstar Anesthesia PA 0% Mid Valley Pathology 100% Singleton Associates 0% TX-I Medical Services 0%

Brownsville Associates in Neonatology 0%

Brownwood Regional Medical Center Brownwood Clinical Partners PA 0%

Community Pathology Associates 0% Singleton Associates PA 0%

Texas EM-I Medical Services PA 0% Service not available 0%

Page 7: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20197

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

CHI St Joseph Health Regional Hospital Bryan None in network 0%

Austin Pathology Associates PA; Brazos Valley Pathology; CHI St Joseph Health Urology Associates

0% Bryan Radiology Associates 0%Bryan Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

The Physicians Centre Bryan YPS Anesthesia LLC 0%Brazos Valley Pathology PA; Austin Pathology Associates PA 0% Bryan Radiology Associates 0% None in network 0% Service not available 0%

Baylor Scott and White Medical Center Buda Buda Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Service not available 0%

Baylor Emergency Medical Center Burleson Service not available 0% Service not available 0% Service not available 0% None in network 100% Service not available 0%

Texas Health Huguley Hospital Ft Worth South Burleson

US Anesthesia Partners of Texas PA 0% Huguley Pathology Consultants 0% Consultants in Radiology PA 0% None in network 100% Service not available 0%

Ascension Seton Highland Lakes Burnet YPS Anesthesia LLC 0%

Austin Pathology Associates PA; Travis Pathology Associates 0%

Austin Radiological Association PA 0%

Travis County Emergency Physicians; Third Coast Emergency Physicians - Southwest PA

0% Service not available 0%

CHI St Joseph Health Burleson Hospital Caldwell Service not available 0% Austin Pathology Associates PA 0% Bryan Radiology Associates 67%

Burleson St Joseph's Health; Brazos Valley Emergency Physicians

17% Service not available 0%

Hemphill County Hospital Canadian Service not available 0% North Texas Pathology 0%High Plains Radiological Association   0%

Southwest Medical Associates 0% Service not available 0%

Baylor Medical Center At Carrollton Carrollton Pinnacle Anesthesia 0%

Ameripath Pathologists Biomedical (PBM) 0% Medical Imaging of Dallas 0%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Cedar Park Regional Medical Center Cedar Park

US Anesthesia Partners of Texas PA 0% Brazos Valley Pathology, PA 0%

Austin Radiological Association PA 0%

Travis County Emergency Physicians 1% Service not available 0%

Page 8: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20198

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Childress Regional Medical Center Childress None in network 0% None in network 0% High Plains Radiologist Assoc. 0%

Childress Regional Medical Center Physicians 0% Service not available 0%

Texas Health Harris Methodist Hospital Cleburne

CleburneUS Anesthesia Partners of Texas PA 0% None in network 100% None in network 100% TeamHealth ER 0% Service not available 0%

Goodall-Witcher Hospital Clifton YPS Anesthesia LLC 0% Central Texas Pathology Lab 0%Radiology Consultants of Texas 0% None in network 0% Service not available 0%

Baylor Scott and White Medical Center College Station

College Station Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0%

CHI St Joseph Health College Station Hospital College Station None in network 0% Austin Pathology Associates PA 0% Bryan Radiology Associates 0%

Travis County Emergency Physicians; Third Coast Emergency Physicians - Southwest PA

0% Texas Childrens Physician Group 0%

Baylor Emergency Medical Center at Colleyville Colleyville Service not available 0% Service not available 0% Service not available 0% None in network 100% Service not available 0%

Mitchell County Hospital Colorado City None in network 0% Clinical Pathology Associates 0% Garvish Radiology 0%Mitchell County Hospital District 0% Service not available 0%

Columbus Community Hospital Columbus Huffman Anesthesia 0% None in network 100% Bryan Radiology Associates 0%

Concord Medical Group of Texas 10% Service not available 0%

Comanche County Medical Center Comanche YPS Anesthesia LLC 0% Clinical Pathology Associates 0%

Radiology Associates of Abilene PA 0%

Concord Medical Group PLLC 100% Service not available 0%

Page 9: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/20199

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Aspire Hospital LLC Conroe Service not available 0% Services not Available 0% Bryan Radiology Associates 62% Services not Available 0% Services not available 0%

HCA Houston Conroe ConroeNorth Houston Anesthesiology 10% North Houston Pathology 0%

Inpatient Consultants of Texas,PLLC ( IPC) 0%

Compass Point Emergency Physicians, PLLC(Emcare) 0% Pediatrix Medical Group of Texas 0%

Bay Area Medical Center Corpus ChristiUS Anesthesia Partners of Texas PA 0%

Pathology Associates of Corpus Christi 0% Radiology Associates 0%

TX-1 Medical Services, Oxbow Emergency Physicians

0%Neonatology Consultants of Corpus Christi 0%

Christus Spohn Hospital South Corpus Christi

Bay Area Anesthesia Associates, EmergencHealth

0%Pathology Associates of Corpus Christi 0%

Radiology and Imaging of South Texas 0%

Conner Emergency Medicine Associates 0%

Children's Physician Services of South Texas 0%

Christus Spohn Memorial Hospital Corpus Christi Service not available 5%

Pathology Associates of Corpus Christi 20%

Radiology and Imaging of South Texas 0%

Conner Emergency Medicine Associates 1% Service not available 0%

Christus Spohn Shoreline Hospital Corpus Christi EmergencHealth 0%

Pathology Associates of Corpus Christi 0%

Radiology and Imaging of South Texas 0%

Conner Emergency Medicine Associates 0% Service not available 0%

Corpus Christi Medical Center Northwest Regional Corpus Christi Service not available 0% Service not available 8% Service not available 0%

TX-1 Medical Services, Oxbow Emergency Physicians

0% Service not available 4%

Doctors Regional Medical Center Corpus Christi

US Anesthesia Partners of Texas PA 0%

Pathology Associates of Corpus Christi 0% Radiology Associates 0%

TX-1 Medical Services, Oxbow Emergency Physicians

8% Service not available 0%

Driscoll Childrens Hospital Corpus ChristiChildrens Physician Services of South Texas 0%

Childrens Physician Services of South Texas 3%

Childrens Physician Services of South Texas 0%

Nueces Emergency Medicine Associates 3%

Neonatology Consultants of Corpus Christi 0%

Page 10: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201910

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

South Texas Surgical Hospital Corpus Christi

Gulf Shore Anesthesia, Bay Area Anesthesia Associates, Clinical Associates

0%Pathology Associates of Corpus Christi 10%

Radiology Associates, Radiology and Imaging of South Texas

0% None in network 77% Service not available 0%

The Heart Hospital Corpus ChristiUS Anesthesia Partners of Texas PA 0%

Pathology Associates of Corpus Christi 8% Radiology Associates 0%

TX-1 Medical Services, Oxbow Emergency Physicians

0% Service not available 4%

Navarro Regional Hospital CorsicanaUS Anesthesia Partners of Texas PA 0%

Ameripath Pathologists Biomedical (PBM) 0%

Radiology Associates of North Texas 0%

Navarro Emergency Physicians PLLC 0%

Medical Associates of Navarro County 0%

Crane Memorial Hospital Crane Crane Rural Health Clinic 0% Midland Pathology Associates 0% RadPartners 0%Concord Medical Group of Texas PLLC, Crane Memorial Hospital

0% Service not available 0%

Crosbyton Clinic Hospital Crosbyton Service not available 0% Service not available 0% John Garvish MD 0% Steve B Alley, MD 0% Service not available 0%

Cuero Regional Hospital CueroAM Anesthesia Services of South Texas 0% None in network 0% None in network 0% None in Network 88% Service not available 0%

HCA Houston Healthcare North Cypress Cypress

US Anesthesia Partners of Texas PA 1%

JS Wilkensfield and Associates, Gulf Pathology Associates 0% West Houston Radiology 0% None in network 22% Service not available 5%

Memorial Hermann Cypress Hospital Cypress

Texans Anesthesia Associates 1%

Memorial Pathology Consultants 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 43% UT Physicians 0%

Coon Memorial Hospital DalhartHigh Country Community Rural Health Clinic 0% LabCorp 0% High Plains Radiology 0% None in network 0% Service not available 0%

Page 11: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201911

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Baylor Heart and Vascular Hospital Dallas Pinnacle Anesthesia 0%

Ameripath Pathologists Biomedical (PBM) 0%

American Radiology Consultants LLC 0% Service not available 0% Service not available 0%

Baylor Scott & White Medical Center Uptown Dallas

Dallas Anesthesiology Associates 0% Pathology Bio-Medical Lab 0%

American Radiology Consultants LLC 0%

West Village Emergency Physicians 0% Service not available 0%

Baylor University Medical Center Dallas Pinnacle Anesthesia 0% Pathology Bio-Medical Lab 18%

American Radiology Consultants LLC 37%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Childrens Medical Center of Dallas Dallas

University of Texas SouthwesternAnesthesiologist for Childrens

0%University of Texas Southwestern (UTSW) 0%

University of Texas Southwestern (UTSW) 1%

University of Texas Southwestern (UTSW)TeamHealth ER

0%University of Texas Southwestern (UTSW) 0%

Dallas Medical Center LLC DallasDallas Medical Physician Group 0%

Ameripath Pathologists Biomedical (PBM) 0% Medical Imaging of Dallas 0%

Live Oak Emergency PhysiciansTexas Em-1 Medical Services, P.A. 

0% Service not available 0%

Medical City Childrens DallasDallas Anesthesiology Associates 62% MCD Pathology 0%

Radiology Consultants of North Dallas 0% Questcare Medical Services 29% Pediatrix Medical Group of Texas 0%

Medical City Dallas DallasDallas Anesthesiology Associates 62% MCD Pathology 0%

Radiology Consultants of North Dallas 0% Questcare Medical Services 29% Pediatrix Medical Group of Texas 0%

Methodist Charlton Medical Center Dallas

US Anesthesia Partners of Texas PA 0%

Laboratory Physician Association 0%

Radiological Consultants Association 0% TeamHealth ER 0% Service not available 0%

Methodist Dallas Medical Center Dallas

US Anesthesia Partners of Texas PA 0%

Laboratory Physician Association 0%

Radiological Consultants Association 0% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Page 12: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201912

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

North Central Surgical Center Dallas None in network 0% None in network 0% None in network 0% Np Emergency Physicians 0% None in network 0%

Pine Creek Medical Center LLP Dallas

Noble Anesthesia Partners PLLC 0% Propath Associates 0%

Radiology Associates of North Texas 0% None in network 0% Service not available 0%

Texas Health Presbyterian Hospital Dallas Dallas None in network 0% North Dallas Pathology Services 0% None in network 0% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Texas Institute for Surgery at Texas Health Presbyterian Dal

DallasDallas Anesthesiology Associates PAUSAP-Texas

100% None in network 0%Radiology Associates of North Texas PA 0% None in network 0% None in network 0%

UT Southwestern University Hospital Dallas

University of Texas SouthwesternPinnacle Anesthesia

0%University of Texas Southwestern 0%

University of Texas Southwestern 0%

EmCare DTX Emergency Physicians 34% University of Texas Southwestern 0%

UT Southwestern University Hospital [Zale Lipshy] Dallas

University of Texas Southwestern 0%

University of Texas Southwestern 0%

University of Texas Southwestern 0%

University of Texas Southwestern 0% Service not available 0%

Wise Regional Health System Decatur None in network 87%

Ameripath Pathologists Biomedical (PBM) 0% None in network 100%

Wise Emergency Medicine Associates PA 0% Service not available 0%

Val Verde Regional Medical Center Del Rio None in network 100%

Pathology Associates of San Antonio LLP 0% South Texas Radiology Group 0%

Victoria Emergency Associates 0% Service not available 0%

Texoma Medical Center Denison Pinnacle Anesthesia 0% None in network 0% Sherman Radiology Assoc 0% None in network 100% Millennium Neo Texoma PLLC 0%

Page 13: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201913

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Baylor Scott and White The Heart Hospital Denton Denton None in network 0%

Pathologists Bio-Medical Laboratories LLP 0% None in network 0%

Century Integrated Partners 0% Service not available 0%

Medical City Denton DentonUS Anesthesia Partners of Texas PA 0% Affiliated Pathology Services 0% None in network 93% Questcare Medical Services 0% Sheridan Healthcare of Texas PA 0%

Texas Health Presbyterian Hospital Denton Denton

Metropolitan Anesthesia Consultants PA 0%

Ameripath Pathologists Biomedical (PBM) 0% None in network 100% TeamHealth ER 11% Pediatrix Medical Group of Texas 0%

Yoakum County Hospital Denver City

Shanna Barker CRNA; Mary Alice Hardie CRNA; Mark Allen Hornsby CRNA; Mayme Alicia Matthews CRNA; Jeffrey White CRNA

0% Ameripath Lubbock 0% Lubbock Diagnostic Radiology 0%Lone Star Emergency Associates 0% Service not available 0%

Plains Memorial Hospital Dimmitt Service not available 0% Ameripath of Lubbock 0%High Plains Radiological Association   0% David Ward MD PA 0% Service not available 0%

Moore County Hospital DumasStella Tan, MD; Manisha Wagle MD 0% Amarillo Pathology Associates   0%

High Plains Radiological Associates, John Garvish 0%

Moore County Hospital, Sound Physicians; Memorial Hospital

0% Service not available 0%

Rice Medical Center Eagle LakeYPS Anesthesia LLC, Rice Medical Associates 0% None in network 100% Singleton Associates 0% None in network 0% Service not available 0%

Fort Duncan Regional Medical Center Eagle Pass Access Provider Group 0% Pathology Reference Labs 0%

Maverick County Rural Radiologist PA 100%

Maverick Emergency Medicine Associates 0% Service not available 0%

Eastland Memorial Hospital EastlandYPS Anesthesia LLC; Hendrick Provider Network 0% Clinical Pathology Associates 0%

Radiology Associates of Abilene 0%

Concord Medical Group PLLC 0% Service not available 0%

Page 14: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201914

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Concho County Hospital Eden Service not available 0% Service not available 0% Singleton Associates 0% Monte Horne, MD 0% Service not available 0%

Cornerstone Regional Hospital LP Edinburg None in network 100% RGV Pathology Consultants 0% Edinburg Radiology 0% Ivan Melendez MD 0% Service not available 0%

Doctors Hospital At Renaissance Edinburg

McAllen Anesthesia Consultants 0% Valley Pathology 10%

Renaissance Radiology Associates PLLC 27%

Renaissance Emergency Physicians 0%

Neonatology Consultants of South Texas 0%

STHS Edinburg Childrens Hospital Edinburg

Premier Anesthesia of Huntsville LLC 65% RGV Pathology Consultants 28% RFC Radiology Associates 4%

Edinburg Emergency Medicine Associates PA 0% Pediatrix Medical Group of Texas 0%

STHS Edinburg Regional Medical Center Edinburg

Premier Anesthesia of Huntsville LLC 65% RGV Pathology Consultants 28% RFC Radiology Associates 4%

Edinburg Emergency Medicine Associates PA 0% Pediatrix Medical Group of Texas 0%

The Womens Hospital At Renaissance Edinburg

McAllen Anesthesia Consultants 0% Valley Pathology 10%

Renaissance Radiology Associates 27%

Renaissance Emergency Physicians 0%

Neonatology Consultants of South Texas 0%

Jackson Healthcare Center Edna Satinder Judge, MD 0% None in network 0% None in network 0% Jackson County ER 71% Service not available 0%

El Campo Memorial Hospital El Campo None in network 0%

Community Pathology Associates 0% Concord Radiology 0%

Concord Radiology Group of Texas 27% Service not available 0%

Del Sol Medical Center El PasoWest Star Anesthesia Services PA 0%

Rio Grande Pathology Services PA 0% Imaging Advantage 0%

Emergency Services of Texas PA 0% Pediatrix Medical Group of Texas 0%

East El Paso Physicians Medical Center Llc El Paso None in network 0%

Rio Grande Pathology Services, PA 0% Synergy Radiology Associates 0%

Patriot Emergency Physicians PLLC 0% Service not available 0%

Page 15: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201915

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Las Palmas Medical Center El PasoWest Star Anesthesia Services; Anesthesia Consultants Associated

96% Desert Pathology Services, P.A. 68% Imaging Advantage 76%Emergency Services of Texas PA 0% Pediatrix Medical Group of Texas 0%

The Hospitals of Providence East Campus El Paso EPMed PA 0%

Pathology Associates of El Paso PA 0% RadPartners 0%

Bluff Creek Emergency Medicine Associates PA 4% Pediatrix Medical Group of Texas 0%

The Hospitals of Providence Memorial Campus El Paso BHS Physicians Network Inc 0%

Pathology Associates of El Paso PA; GYN PATH Services Inc 0% Radiology Partners 0%

Bluff Creek Emergency Associates PA, Patriot Emergency Physicians PLLC

0% Pediatrix Medical Group of Texas 0%

The Hospitals of Providence Northeast Campus El Paso Service not available 0% None in network 0% None in network 0%

Pearsall Emergency Medicine Associates, PA 0% Service not available 0%

The Hospitals of Providence Sierra Campus El Paso

West Star Anesthesia Services PA; CRNA Associates INC

0%Pathology Associates of El Paso PA; Sierra Laboratory Associates PA

0% RadPartners 0%

Bluff Creek Emergency Medicine Associates PA; Northbank Emergency Physicians

0% Service not available 0%

The Hospitals of Providence Transmountain Campus El Paso

Texas Tech University Health Sciences Center El Paso 100%

Texas Tech University Health Sciences Center El Paso 0% RadPartners 0%

Texas EM-1 Medical Services PA; Patriot Emergency Physicians PLLC

0% Pediatrix Medical Group of Texas 0%

University Medical Center Of El Paso El Paso None in network 0%

Texas Tech University Health Sciences Center El Paso; University Medical Center of El Paso

0%Texas Tech University Health Sciences Center El Paso 37%

Texas Tech University Health Sciences Center El Paso

0%Texas Tech University Health Sciences Center El Paso; Pediatrix Medical Group of Texas

0%

Ennis Regional Medical Center Ennis None in network 0% None in network 0% None in network 0%

Running Buffalo Clover Emergency PhysiciansTexas Em-1 Medical Services

0% Service not available 0%

Connally Memorial Medical Center Floresville

Anesthesia Associates of Seguin 0% Village Oaks Pathology Services 0% South Texas Radiology Group 0%

Victoria Emergency Partners 0% Service not available 0%

Page 16: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201916

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Texas Health Presbyterian Hospital Flower Mound Flower Mound Pinnacle Anesthesia 0% MD Pathology 0% None in network 100% None in network 0% None in network 0%

Pecos County Memorial Hospital Fort Stockton None in network 0% ProPath Associates 0% MCH ProCare 100% None in Network 100% Service not available 0%

Baylor All Saints Medical Center Fort Worth Northstar Anesthesia PA 0% Tarrant Pathology Associates 0%

Radiology Associates of North Texas 0%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Baylor Scott & White Surgical Hospital Forth Worth

Fort WorthUS Anesthesia Partners of Texas PA 0% Tarrant Pathology Associates 0% None in network 0%

Stockyard Emergency Physicians 0% Service not available 0%

Cook Childrens Medical Center Fort Worth

Cook Childrens Physician Network 24%

Cook Childrens Physician Network 0%

Radiology Associates of North Texas 0%

Cook Childrens Physician Network 0% Pediatrix Medical Group of Texas 0%

Medical City Alliance Fort WorthUS Anesthesia Partners of Texas PA 6%

Ameripath Pathologists Biomedical (PBM) 0% None in network 79% Questcare Medical Services 0% Sheridan Healthcare of Texas PA 0%

Medical City Fort Worth Fort WorthUS Anesthesia Partners of Texas PA 0%

Ameripath Pathologists Biomedical (PBM) 0%

Radiology Associates of Tarrant County 0% Questcare Medical Services 0% Service not available 0%

Texas Health Harris Methodist Hospital Alliance Fort Worth None in network 0%

Ameripath Pathologists Biomedical (PBM) 0% None in network 100% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Texas Health Harris Methodist Hospital Fort Worth

Fort WorthUS Anesthesia Partners of Texas PA 0%

Ameripath Pathologists Biomedical (PBM) 98% None in network 0% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Page 17: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201917

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Texas Health Harris Methodist Hospital Southwest Fort Worth

Fort WorthUS Anesthesia Partners of Texas PA 0% Propath Associates 0% None in network 0% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Wise Health System Fort Worth None in network 87% None in network 0% None in network 100% None in network 0% Service not available 0%

Hill Country Memorial Hospital Fredericksburg

US Anesthesia Partners of Texas PA 0% Foundations Inc 0% South Texas Radiology Group 0%

Barons Creek Emergency Physicians, Texas EM-I Medical Services

7% Service not available 0%

Parmer County Community Hospital Friona Service not available 0% Amarillo Pathology Associates   0%

High Plains Radiological Associates 0%

Parmer County Community Hospital ER 0% Service not available 0%

Baylor Scott and White Medical Center Centennial Frisco

US Anesthesia Partners of Texas PA 0% North Texas Pathology 100% None in network 100% None in Network 100%

Magella Medical Associates Billing Inc 0%

Baylor Scott and White Medical Center Frisco Frisco

US Anesthesia Partners of Texas PA 0%

Ameripath Pathologists Biomedical (PBM) 0% None in network 100% None in network 100% Service not available 0%

North Texas Medical Center Gainesville Northstar Anesthesia PA 0%Ameripath Pathologists Biomedical (PBM) 0%

Sherman Radiology Associates 0%

Concord Medical Group of Texas 100% Service not available 0%

University Of Texas Medical Branch At Galveston Galveston UTMB Faculty Group Practice 4% UTMB Faculty Group Practice 0% UTMB Faculty Group Practice 1% Envision Physician Services 1% UTMB Faculty Group Practice 0%

St David's Georgetown Hospital Georgetown Northstar Anesthesia PA 0%

Clinical Pathology Associates; Travis Pathology Associates 0%

Austin Radiological Association PA 0%

Longhorn Emergency Medical Associates PA 0% Pediatrix Medical Group of Texas 0%

Page 18: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201918

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Glen Rose Medical Center Glen Rose None in network 100% Central Texas Pathology 0%High Plains Radiological Associates 24%

Fossil Rim Emergency Physicians 0% Service not available 0%

Memorial Hospital Gonzales Memorial Hospital CRNA 100% None in network 100% None in network 0% Concord Medical Group 44% Service not available 0%

Graham Regional Medical Center Graham YPS Anesthesia LLC 0% None in network 0% None in network 0% TeamHealth ER 0% Service not available 0%

Lake Granbury Medical Center Granbury EmergencHealth, LLC 0% Affiliated Pathology Services 0% Hill Country Radiology Assoc 0% TeamHealth ER 100% Service not available 0%

Baylor Scott and White Emergency Hospital Grand Prairie

Grand Prairie Service not available 0% Service not available 0% Service not available 0% None in Network 100% Service not available 0%

Baylor Regional Medical Center At Grapevine Grapevine Pinnacle Anesthesia 0% Pathology Bio-Medical Lab 0%

Radiology Associates of North Texas 0%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Hunt Regional Medical Center Greenville Northstar Anesthesia PA 0% Pathology Associates 0% Red River Radiology 3% TeamHealth ER 10% Texas Neonatology Associates 0%

Limestone Medical Center Groesbeck None in network 0%Central Texas Pathology Laboratory PA 0%

Singleton Associates PA; Central Texas Radiological Association PA

0%Concord Medical Group of Texas 0% Service not available 0%

Lavaca Medical Center Hallettsville Lavaca Family Health Clinic 0% None in network 0% Bryan Radiology Associates 0% Lavaca Family Health Clinic 0% Service not available 0%

Page 19: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201919

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Hamilton General Hospital Hamilton Scott and White Clinic 0% Scott and White Clinic 0%Central Texas Radiological Association PA 0% Scott and White Clinic 0% Service not available 0%

Valley Baptist Medical Center Harlingen None in network 100% Mid Valley Pathology 100% Sunrise Vascular 0%

Travis County Emergency Physicians 0%

Neonatology Consultants of Corpus Christi, Children's Physician Services of South Texas

28%

Haskell Memorial Hospital Haskell None in network 0% None in network 0% None in network 0%

Concord Medical Group of TexasConcord Medical Group PLLC

0% None in network 0%

Sabine County Hospital Hemphill Service not available 0% Quest Diagnostics 0%High Plains Radiological Association 0% None in Network 0% Service not available 0%

Clay County Memorial Hospital Henrietta Clinical Partners 0% North Texas Pathology 0% None in Network 0% Concord Medical Group 0% Service not available 0%

Hereford Regional Medical Center Hereford

Hereford Health Clinic; Alliance Regional Health Network

0% Amarillo Pathology Associates 0% High Plains Radiological 0%Concord Medical Group of Texas PLLC 0% Service not available 0%

Hill Regional Hospital Hillsboro None in network 68% Central Texas Pathology 0% None in Network 100% None in network 0% Service not available 0%

Medina Regional Hospital Hondo Medina Regional Hospital 12% Village Oaks Pathology Services 0% South Texas Radiology Group 0%Victoria Emergency Associates 0% Service not available 0%

The Hospitals of Providence Horizon City Campus Horizon City

US Anesthesia Partners of Texas PA 0%

Pathology Associates of El Paso PA 0%

Providence Imaging Consultants PA 0%

Pearsall Emergency Medicine Associates PA 0% Pediatrix Medical Group of Texas 0%

Page 20: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201920

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

HCA Houston Med Ctr HoustonTexans Anestheisa Associates 0% North Houston Pathology Assoc 0% Innovative Radiology 0%

Compass Point Emergency Physicians, PLLC(Emcare) 0% Service not available 0%

HCA Houston Northwest HoustonUS Anesthesia Partners of Texas PA 11% North Houston Pathology Assoc 0%

Houston Northwest Radiology Assoc 0%

Herald Emergency Physicians, PLLC(Envision) 6% Pediatrix Medical Group of Texas 0%

HCA Houston West HoustonUS Anesthesia Partners of Texas PA 0% Mangini, Lakhia & Associates 0%

EMCare (Tx-1 Medical Services, PA) 0%

Compass Point Emergency Physicians, PLLC(Emcare) 0% Pediatrix Medical Group of Texas 0%

Houston Methodist Hospital HoustonUS Anesthesia Partners of Texas PA 0% Methodist Pathology Associates 0% Houston Radiology Associated 9%

EmergiGroup Physician Associates, PA 94% Texas Childrens Physician Group 0%

Houston Methodist West Hospital Houston

US Anesthesia Partners of Texas PA 0% Methodist Pathology Associates 0% Houston Radiology Associated 29%

West Houston Emergency Physicians 84% Texas Childrens Physician Group 0%

Houston Methodist Willowbrook Hospital Houston

US Anesthesia Partners of Texas PA 0% Methodist Pathology Associates 0% Houston Radiology Associated 8%

Woodlands Emergency Physicians 94% Texas Childrens Physician Group 0%

Md Anderson Cancer Center Houston Physicians Referral Service 0% Physicians Referral Service 0% Physicians Referral Service 0% Physicians Referral Service 0% Service not available 0%

Memorial Hermann Southwest Hospital Houston

US Anesthesia Partners of Texas PA 0%

Memorial Pathology Consultants 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 31% Pediatrix Medical Group of Texas 0%

MHHS Greater Heights Hospital Houston

Texans Anestheisa Associates 0%

Memorial Pathology Consultants 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 31% UT Physicians 0%

MHHS Hermann Hospital Houston UT Physicians 1%Memorial Pathology Consultants 0% UT Physicians 0% UT Physicians 43% UT Physicians 0%

Page 21: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201921

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

MHHS Memorial City Hospital Houston

US Anesthesia Partners of Texas PA 0%

Memorial Pathology Consultants 0% Singleton Associates 0%

Memorial Hermann Emergency Physicians 26% UT Physicians 0%

MHHS Southeast Hospital HoustonTexans Anestheisa Associates 0%

Memorial Pathology Consultants 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 31% UT Physicians 0%

St Joseph Medical Center Houston Northstar Anesthesia PA 100%Community Pathology Associates 0% Singleton Associates 0%

St. Joseph Emergency Physicians 66% Pediatrix Medical Group of Texas 0%

St Lukes Hospital at The Vintage LLC Houston None in network 100%

Community Pathology Associates 0% Singleton Associates 0% None in network 79% Texas Childrens Physician Group 0%

St Lukes Medical Center Houston None in network 44%Community Pathology Associates 0% Singleton Associates 1% None in network 85% Service not available 0%

Texas Childrens Hospital HoustonTexas Childrens Physician Group 0% Pediatric Pathology Consultants 0%

Texas Childrens Physician Group 1%

Texas Childrens Physician Group 28% Texas Childrens Physician Group 1%

Texas Childrens Hospital West Campus Houston

Texas Childrens Physician Group 0% Pediatric Pathology Consultants 0%

Texas Childrens Physician Group 1%

Texas Childrens Physician Group 28% Texas Childrens Physician Group 1%

Texas Orthopedic Hospital HoustonUS Anesthesia Partners of Texas PA 0% Baylor Pathology 0% None in network 100% Fondren Orthopedic Group 0% Service not available 0%

The Womans Hospital Of Texas Houston

Austin Anesthesiology Group PLLC 0%

Houston Pathology Associates, P.A. 0% Synergy Radiology Associates 0%

Compass Point Emergency Physicians, PLLC(Emcare) 0% Pediatrix Medical Group of Texas 4%

TOPS Surgical Specialty Hospital Houston Best Choice 9%

North Houston Pathology Associates 0% Rose Imaging Specialist 0% Services not available 0% Services not available 0%

Page 22: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201922

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

United Memorial Medical Center Houston None in network 100% None in network 0% Singleton Associates 49%

United Memorial Medical Center Physicians Group 0% Service not available 0%

United Memorial Medical Center North Hospital Houston None in network 0% None in network 0% Singleton Associates 0%

United Memorial Medical Center Physicians Group 0% Service not available 0%

Memorial Hermann Childrens Hospital Houston UT Physicians 0% UT Physicians 0% UT Physicians 0% UT Physicians 0% UT Physicians 0%

MHHS Northeast Hospital HumbleUS Anesthesia Partners of Texas PA 0% North Houston Pathology Assoc 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 23% Pediatrix Medical Group of Texas 0%

Aspire Hospital LLC Huntsville Service not available 0% Service not available 0% Bryan Radiology Associates 0% Services not available 0% Service not available 0%

Huntsville Memorial Hospital Huntsville

Premier Anesthesia of Huntsville LLC 0%

Community Pathology Associates 55% Bryan Radiology Associates 0%

ACS Primary Care Physicians Southwest, PA 0% Service not available 0%

Baylor Scott and White Medical Center Irving Irving Pinnacle Anesthesia 0% Irving Laboratories PA 0% Irving Radiological Associates 67%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Baylor Surgical Hospital at Las Colinas Irving None in network 0% None in network 0% None in network 0%

Campion Emergency Physicians 0% None in network 0%

Medical City Las Colinas Irving Pinnacle Anesthesia 0% Propath Associates 0% None in network 80% Questcare Medical Services 0% Sheridan Healthcare of Texas PA 0%

Faith Community Hospital Jacksboro None in network 0% Affiliated Pathology Services 0%Radiology Associates of Wichita Falls 0% None in network 0% Service not available 0%

Page 23: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201923

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Mother Frances Hospital Jacksonville Jacksonville Trinity Clinic 0% Austin Pathology Associates PA 0%

Trinity Clinic/ Tyler Radiology Associates 0%

Mother Frances Hospital Er Physicians 50% Service not available 0%

Christus Jasper Memorial Hospital Jasper YPS Anesthesia LLC 0% Beaumont Pathology 0% Radiology Associates 0%

Sound Physicians Emergency Medicine of Texas, PLLC

43% Service not available 0%

Methodist Hospital South Jourdanton None in network 0% Village Oaks Pathology Services 0% South Texas Radiology Group 0% None in network 0% Service not available 0%

Memorial Hermann Katy Hospital Katy

US Anesthesia Partners of Texas PA 0%

Brown & Associates Medical Laboratories, LLP 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 26%

UT Physicians, Pediatrix Medical Group of Texas 0%

Texas Health Presbyterian Hospital Kaufman Kaufman Northstar Anesthesia PA 0% None in network 0% None in Network 72% TeamHealth ER 17% Service not available 0%

Baylor Scott and White Emergency Hospital Keller Keller Service not available 0% Service not available 0% Service not available 0% None in network 100% Service not available 0%

Otto Kaiser Memorial Hospital Kenedy YPS Anesthesia LLC 0% None in network 100% None in network 0% Concord Medical Group 82% Service not available 0%

Winkler County Memorial Hospital Kermit Service not available 0% None in network 0% None in network 0%

Concord Medical Group of Texas PLLC 100% Service not available 0%

Peterson Regional Medical Center Kerrville

Anesthesia Associates Group LLC 0% Foundations Inc 0%

Hill Country Imaging Associates 0%

Travis County Emergency Physicians 0% Service not available 0%

Page 24: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201924

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

AdventHealth Central Texas Killeen Baylor Scott & White Clinic 0% Baylor Scott & White Clinic 0% Baylor Scott & White Clinic 0%

Emergency Associates of Central TX; Longhorn Emergency Medical Associates/TeamHealth

0% Baylor Scott & White Clinic 0%

Seton Medical Center Harker Heights Killeen EmCare, EmergencHealth 0% Brazos Valley Pathology 0%

Austin Radiological Association PA 0% Emergency Service Partners 0% Pediatrix Medical Group of Texas 0%

Christus Spohn Hospital Kleberg Kingsville EmergencHealth 0% None in network 100%

Radiology and Imaging of South Texas 0%

Guadalupe Emergency Medicine Associates 0% Service not available 0%

HCA Houston Kingwood KingwoodUS Anesthesia Partners of Texas PA 1%

North Houston Pathology Associates 0%

Inpatient Consultants of Texas, PLLC ( IPC) 0%

Compass Point Emergency Physicians, PLLC(Emcare) 22% Pediatrix Medical Group of Texas 5%

Memorial Hermann Specialty Hospital Kingwood

KingwoodUS Anesthesia Partners of Texas PA 0%

North Houston Pathology Associates 0% Singleton Associates 0%

Memorial Hermann Emergency Physicians 0% Service not available 0%

Knox County Hospital Knox City None in network 0% None in network 0% None in network 0% None in network 0% None in network 0%

Ascension Seton Hays KyleUS Anesthesia Partners of Texas PA 0% Brazos Valley Pathology, PA 0%

Austin Radiological Association PA 0%

Travis County Emergency Physicians; Third Coast Emergency Physicians - Southwest PA

1% Pediatrix Medical Group of Texas 7%

St Marks Medical Center La Grange YPS Anesthesia LLC 0% None in network 0% RadPartners 0%Victoria Emergency Partners LLC 0% Service not available 0%

Brazosport Regional Health System Lake Jackson

Seven Flags Anesthesia Associates PLLC 0%

Community Pathology Associates 0% Singleton Associates 0% Envision Physician Services 14% Service not available 0%

Page 25: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201925

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Baylor Scott and White Medical Center - Lakeway Lakeway

US Anesthesia Partners of Texas PA 0%

Scott and White Clinic; Austin Pathology Associates PA 0% Scott and White Clinic 0% Scott and White Clinic 0% Pediatrix Medical Group of Texas 0%

AdventHealth Rollins Brook Lampasas Baylor Scott & White 0% Baylor Scott & White 0% Baylor Scott & White 0%Emergency Associates of Central TX/TeamHealth 0% Baylor Scott & White Clinic 0%

Crescent Medical Center Lancaster Lancaster Noble Anesthesia Partners 0%

Ameripath Pathologists Biomedical (PBM) 0%

Radiology Associates of North Texas 0% None in network 100% Service not available 0%

Doctors Hospital Of Laredo Laredo Standard Anesthesia 0% Pathology Reference Labs 0% Singleton Associates 5%Webb Emergency Medicine Associates 0%

Jose L Berlioz, MD, Roberto Villegas, MD 0%

Laredo Medical Center Laredo None in network 100% Corepath Laboratories 18% DeliverRad 23%Webb Emergency Medicine Associates 0% Satbir Chhina, MD 0%

UTMB League City League City UTMB Faculty Group Practice 0% UTMB Faculty Group Practice 0% UTMB Faculty Group Practice 0% Envision Physician Services 0% Service not available 0%

Covenant Hospital Levelland Levelland

Covenant Hospital Levelland; Kinino PLLC 0% Ameripath Lubbock 0% Lubbock Diagnostic Radiology 0% None in network 0% Service not available 0%

Medical City Lewisville LewisvilleMetropolitan Anesthesia Consultants PA 0% Propath Associates 0% Medical Imaging of Dallas 50% Questcare Medical Services 0% Sheridan Healthcare of Texas PA 0%

Liberty Dayton Regional Medical Center Liberty Service not available 0%

Gulf Coast Pathology Associates 0% 1960 Physician Associates 0%

Concord Medical Group of Texas 68% Service not available 0%

Lamb Healthcare Center Littlefield None in network 0% Ameripath Lubbock 0% Lubbock Diagnostic Radiology 0% Concord Medical Group 0% Service not available 0%

Page 26: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201926

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Northeast Methodist Hospital Live Oak

US Anesthesia Partners of Texas PA 0% Village Oaks Pathology Services 0% South Texas Radiology Group 0%

TX-I Medical Services, Judson Road Emergency Physicians

0% Service not available 0%

Memorial Health Center Livingston Livingston

AC Provider Services of Texas LLC 0% None in network 0% ARDA Medical Imaging 0%

Camino Real Emergency Physicians PLLC(Emcare) & Texas EM-1 Medical Services PA(Emcare)

0% Service not available 0%

W J Mangold Memorial Hospital Lockney Roderick Stelle, CRNA 0% None in network 0% Abilene Radiology Associates 0% None in network 0% Service not available 0%

Good Shepherd Medical Center Longview Trinity Clinic 0%

Community Pathology Associates 0% Medical Imaging Consultants 0% None in network 0% Ancor Health Center PA 0%

Longview Regional Medical Center Longview Horizon Anesthesia 0% Baylor Pathology Associates 0% East Texas Radiology 0%

ACS Primary Care Physicians Southwest, PA 0% Onsite Neonatal 0%

Covenant Children's Hospital Lubbock Northstar Anesthesia PA 0% Ameripath Lubbock 0% Lubbock Diagnostic Radiology 0% Covenant Medical Group 0% Pediatrix Medical Group of Texas 0%

Covenant Medical Center LubbockNorthstar Anesthesia PA; Great Plains Anesthesia 0% Ameripath Lubbock 0% Lubbock Diagnostic Radiology 0% Covenant Medical Group 0% Service not available 0%

Covenant Specialty Hospital Lubbock Northstar Anesthesia PA 0% Ameripath Lubbock 0% Lubbock Diagnostic Radiology 0% Service not available 0% Service not available 0%

Grace Surgical Hospital LubbockLubbock Texas Highland Medical Center; Grace Clinic 0% Avero Diagnostics 0% Grace Clinic of Lubbock 0%

Yellow House Canyon Emergency Physicians PLLC; Lubbock Texas Highland Medical Center

0% Service not available 0%

Page 27: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201927

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

University Medical Center LubbockTexas Tech University Health Sciences Center 55%

Texas Tech University Health Sciences Center 0% UMC Radiology 11% UMC EC Physicians 0% Pediatrix Medical Group of Texas 0%

Memorial Medical Center of East Texas Lufkin

AC Provider Services of Texas LLC 0% None in network 0% Angelina Diagnostic Radiology 6%

Camino Real Emergency Physicians PLLC(Emcare) & Texas EM-1 Medical Services PA(Emcare)

0% Service not available 0%

Woodland Heights Hospital Lufkin EmergencHealth, LLC 0% None in Network 100% None in Network 0%Angelina Emergency Medicine Associates, P.A. 0% Pediatrix Medical Group of Texas 0%

Ascension Seton Edgar B Davis Luling YPS Anesthesia LLC 0% Clinical Pathology Associates 0%

Austin Radiological Association PA 0%

Travis County Emergency Physicians 0% Service not available 0%

CHI St Joseph Health Madison Hospital Madisonville Service not available 0% Austin Pathology Associates PA 0% Bryan Radiology Associates 0%

Brazos Valley Emergency Physicians 0% Service not available 0%

Methodist Mansfield Medical Center Mansfield

US Anesthesia Partners of Texas PA 0%

Laboratory Physician Association 0% None in network 0% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Baylor Scott and White Medical Center Marble Falls Marble Falls Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0%

Century Integrated Partners Inc; Scott and White Clinic

0% Service not available 0%

Falls Community Hospital And Clinic Llc Marlin Service not available 0% Clinical Pathology Associates 0%

Central Texas Radiological Association PA; Radiology Consultants of Texas; Bing Obaldo MD

0%Falls Community Hospital and Clinic Inc 0% Service not available 0%

Christus Good Shepherd Medical Center Marshall

Good Shepherd Health System 0%

Community Pathology Associates 0% Medical Imaging Consultants 12% None in network 91% Service not available 0%

Page 28: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201928

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

McCamey County Hospital Mc Camey Service not available 0% Quest 0% John Garvish MD 0% McCamey County Hospital 0% Service not available 0%

McAllen Heart Hospital McAllenPremier Anesthesia of Huntsville LLC 65% RGV Pathology Consultants 28% RFC Radiology Associates 4%

Edinburg Emergency Medicine Associates PA 0% Service not available 0%

Rio Grande Regional Hospital McAllen

Rio Grande Anesthesia and Pain Medicine Consultants 0% Valencia & Sanchez MD 23% Singleton Associates 0% Texas EM-I Medical Services 0% Pediatrix Medical Group of Texas 0%

STHS McAllen Medical Center McAllen

Premier Anesthesia of Huntsville LLC 0% RGV Pathology Consultants 0% RFC Radiology Associates 0%

Edinburg Emergency Medicine Associates PA 0% Pediatrix Medical Group of Texas 0%

Baylor Scott And White Medical Center McKinney McKinney

US Anesthesia Partners of Texas PA 0% None in network 0% None in network 100%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Medical City McKinney McKinneyUS Anesthesia Partners of Texas PA 0% Propath Associates 0% Medical Imaging of Dallas 46% Questcare Medical Services 0% Sheridan Healthcare of Texas PA 0%

Methodist Mckinney Hospital McKinney

US Anesthesia Partners of Texas PA 0%

Laboratory Physician Association 0% None in Network 0%

Western Texas Emergency Physicians 0% Service not available 0%

Parkview Regional Hospital Mexia

Limestone County Anesthesia Associates PA; Pinnacle Anesthesia Consultants PA

0%East Texas Pathology Laboratories, PA 0%

Radiology Consultants of Texas 0%

Fort Parker Emergency Physicians, Texas EM-1 Medical Services

0% Service not available 0%

Midland Memorial Hospital MidlandAnesthesia Medical Group of the Permian Basin LLP 0% Midland Pathology Associates 100% None in Network 100%

Sheridan Healthcare of North Texas PA; Premier Physicians

100%Pediatrix Medical Group of Texas; Sheridan Healthcare of North Texas PA

0%

Page 29: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201929

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Palo Pinto General Hospital Mineral Wells PPGH Anesthesia Group 0% Affiliated Pathology Services 0%Eagle Imaging Partners of Oklahoma 0%

Concord Medical Group of Texas 0% Service not available 0%

Ward Memorial Hospital Monahans Ward Memorial Hospital 0% Midland Pathology Associates 0% None in network 0% Ward Memorial Hospital 0% Service not available 0%

Cochran Memorial Hospital Morton Service not available 0% Service not available 0% Service not available 0%Charles Von Oden Hughes III, MD, Clifton Dane Smith PA

0% Service not available 0%

Titus Regional Medical Center

Mount Pleasant

Titus Regional Medical Center MSO

0% Motaz Albahra, MD 0% None in network 50%

Emergency Physicians of West Bluff PLLC(Emcare) & Texas EM-1 Medical Services PA(Emcare), Titus Emergency Medcine Associates

0% Service not available 0%

Muenster Memorial Hospital Muenster None in network 0%

Ameripath Pathologists Biomedical (PBM) 0% None in network 0% None in network 0% Service not available 0%

Baylor Emergency Medical Center at Murphy Murphy Service not available 0% Service not available 0% Service not available 0% None in network 100% Service not available 0%

Nacogdoches Medical Center Nacogdoches Main Street Anesthesia 0% None in Network 0% None in Network 100%

Living Forest Country Emergency Physicians PLLC(Emcare) & Texas EM-1 Medical Services PA(Emcare)

0% Pediatrix Medical Group of Texas 0%

Houston Methodist Clear Lake Hospital Nassau Bay None in network 98% Methodist Pathology Associates 0% Houston Radiology Associated 11%

Kirby Emergency Physicians, PLLC 95% Texas Childrens Physician Group 0%

CHI St Joseph Health Grimes Hospital Navasota Service not available 0% Austin Pathology Associates PA 0% Bryan Radiology Associates 0%

Brazos Valley Emergency Physicians 0% Service not available 0%

Page 30: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201930

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Christus Santa Rosa Creekside Emergency New Braunfels Service not available 16%

Pathology Associates of San Antonio 0% River City Imaging Associates 0%

Victoria Emergency Partners 2% Service not available 0%

Christus Santa Rosa Hospital New Braunfels New Braunfels

US Anesthesia Partners of Texas PA 0%

Pathology Associates of San Antonio 0% River City Imaging Associates 0%

Victoria Emergency Partners 0% Pediatrix Medical Group of Texas 0%

Resolute Hospital Company LLC New Braunfels

US Anesthesia Partners of Texas PA 0% Clinical Pathology Associates 0% M & S Radiology Associates 0% None in network 99% Pediatrix Medical Group of Texas 0%

Nocona General Hospital Nocona None in network 0% None in network 0% Robert Neal, MD 0% None in network 0% Service not available 0%

Medical City North HillsNorth Richland Hills Pinnacle Anesthesia 0%

Ameripath Pathologists Biomedical (PBM) 0%

Radiology Associates of North Texas 0% Questcare Medical Services 0% Pediatrix Medical Group of Texas 0%

Odessa Regional Hospital Odessa Permian Anesthesia Associates

37% Baylor Pathology; Affiliated Pathologists PA

0% None in network 100%

Comprehensive Hospitalist Services of Texas PLLC; Odessa Physician Associates; Schumacher Medical Group

33% Pediatrix Medical Group of Texas 0%

Odessa Regional Hospital South Campus

Odessa Permian Anesthesia Associates

37% Baylor Pathology; Affiliated Pathologists PA

0% None in network 100%

Comprehensive Hospitalist Services of Texas PLLC; Odessa Physician Associates; Schumacher Medical Group

33% Pediatrix Medical Group of Texas 0%

Palacios Community Medical Center Palacios Service not available 0%

Community Pathology Associates 0% Concord Radiology 0%

Concored Medical Group of Texas 0% Service not available 0%

Palestine Regional Medical Center Palestine

Anderson County Anesthesia Associates, PA/Anesthesia Providers of East Texas

0% None in network 0%Eagle Imaging Partners of Oklahoma 0% TeamHealth ER 0% Service not available 0%

Page 31: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201931

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Pampa Regional Medical Center Pampa YPS Anesthesia LLC 0% Amarillo Pathology Associates   0%

High Plains Radiological Association   0%

Concord Medical Group of Texas PLLC; Concord Medical Group PLLC, Sound Physicians

0% Service not available 0%

Paris Regional Medical Center North Paris Paris Anesthesia 100% Red River Valley Pathology 0%

Eagle Imaging Partners of Oklahoma 0% None in network 0% Service not available 0%

HCA Houston Southeast Pasadena None in network 90% Alliance Pathology Consultants 0%EMCare (Tx-1 Medical Services, PA) 0%

Compass Point Emergency Physicians, PLLC(Emcare) 2% Pediatrix Medical Group of Texas 0%

St Lukes Patients Medical Center Pasadena None in Network 100% Baylor Pathology 0% Singleton Associates 0% None in network 87% Service not available 0%

HCA Houston Pearland Pearland None in network 0% Mangini, Lakhia & Associates 0%EMCare (Tx-1 Medical Services, PA) 0%

Compass Point Emergency Physicians, PLLC(Emcare) 0% Service not available 0%

Memorial Hermann Pearland Hospital Pearland

Texans Anesthesia Associates 0%

Memorial Pathology Consultants 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 31%

UT Physicians

0%

Frio Regional Hospital PearsallFrio Regional Hospital Physicians 0% Village Oaks Pathology Services 0% Concord Radiology 0% Concord Medical Group 0% Service not available 0%

Ochiltree General Hospital Perryton Ochiltree General Hospital 0% Quest Laboratories 0% None in Network 0%Rex Mann, MD, Manon Childers MD, James Morton, MD, Jennifer McGaughy, DO

0% Service not available 0%

Baylor Scott and White Medical Centers-Pflugerville Pflugerville Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0% Service not available 0%

Page 32: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201932

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Covenant Hospital Plainview Plainview Northstar Anesthesia PA 0% Ameripath 0% Lubbock Diagnostic Radiology 0%

Crow Emerg Physicians PLLC; Texas EM-1 Medical Services PA; Emcare

0% Service not available 0%

Baylor Regional Medical Center at Plano Plano

Dallas Anesthesiology Associates 30% Pathology Bio-Medical Lab 0% None in network 89%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Baylor Scott and White The Heart Hospital Plano Plano None in network 0% None in network 0% None in Network 0% None in network 0% Service not available 0%

Childrens Medical Center Dallas Plano

University of Texas SouthwesternAnesthesiologist for Childrens

100%University of Texas Southwestern (UTSW) 0%

University of Texas Southwestern (UTSW) 0%

University of Texas Southwestern (UTSW)TeamHealth ER

0%University of Texas Southwestern (UTSW) 0%

Medical City Plano PlanoDallas Anesthesiology Associates 100%

Ameripath Pathologists Biomedical (PBM) 0%

Radiology Consultants of North Dallas 88% Questcare Medical Services 0% Sheridan Healthcare of Texas PA 0%

Texas Health Center for Diagnostics and Surgery Plano

PlanoDallas Anesthesiology Associates PAUSAP-Texas

0% MD Pathology 0% None in network 100% None in network 0% None in network 0%

Texas Health Presbyterian Hospital Plano Plano

Noble Anesthesia Partners PLLC 51% MD Pathology 0% None in Network 100% TeamHealth ER 0% Pediatrix Medical Group of Texas 0%

Medical Center Of Southeast Texas Port Arthur Northstar Anesthesia PA 100% Baylor Pathology 0% Southeast Texas Imaging LLP 7%

Port Arthur Emergency Physicians, PLLC 10% None in Network 0%

Memorial Medical Center Port LavacaVictoria Anesthesiology Associates 0% None in network 0% None in Network 0% None in network 84% Service not available 0%

Page 33: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201933

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Northshore Emergency Center Portland Service not available 0% Service not available 8% Radiology Associates 0%

TX-1 Medical Services, Oxbow Emergency Physicians

0% Service not available 4%

Hardeman County Memorial Hospital Quanah None in network 0%

Pathology Associates of North Texas PA 0% None in network 0% None in network 0% None in network 0%

Rankin County Hospital Rankin Service not available 0% Service not available 0% None in network 0% Rankin County ER 0% Service not available 0%

Refugio County Memorial Hospital District Refugio Service not available 0% None in network 0% None in network 0% None in network 75% Service not available 0%

Methodist Richardson Medical Center Richardson

US Anesthesia Partners of Texas PA 0%

Laboratory Physician Association 0%

Radiology Associates of North Texas 94%

Emcare - RSN Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

Oakbend Medical Center RichmondUS Anesthesia Partners of Texas PA 0%

Brown & Associates Medical Laboratories, LLP 0% West Houston Radiology 0%

Rose-Rich Emergency Medicine 0% Pediatrix Medical Group of Texas 0%

Starr County Memorial Hospital Rio Grande City Northstar Anesthesia PA 0% None in network 0% None in network 100%

Renaissance Medical Foundation 0% Service not available 0%

Baylor Emergency Medical Center at Rockwall Rockwall Service not available 0% Service not available 0% Service not available 0% None in network 100% Service not available 0%

Texas Health Presbyterian Hospital Rockwall Rockwall

Metropolitan Anesthesia Consultants PA 0% North Texas Pathology 100%

Irving Radiological Associates, LLP 56% TeamHealth ER 0% Service not available 0%

Fisher County Hospital District Rotan Service not available 0% Clinical Pathology Associates 0%

Radiology Associates of Abilene 0%

Fisher County Hospital District 0% Service not available 0%

Page 34: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201934

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Ascension Seton Williamson Round Rock

US Anesthesia Partners of Texas PA 0% Brazos Valley Pathology PA 0%

Austin Radiological Association PA 0%

Emergency Services of Texas PA; Travis County Emergency Physicians; USACS Critical Care Medicine Services of Texas PLLC

3% Pediatrix Medical Group of Texas 0%

Baylor Scott and White Medical Center Round Rock Round Rock Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 7% Scott and White Clinic 76%

Scott and White Clinic; Pediatrix Medical Group of Texas 0%

Round Rock Medical Center Round RockAustin Anesthesiology Group PLLC 0% Clinical Pathology Associates 0%

Austin Radiological Association PA 0%

Longhorn Emergency Medical Associates PA 0% Pediatrix Medical Group of Texas 0%

Baylor Scott and White Medical Center Lake Pointe Rowlett

Metropolitan Anesthesia Consultants PA 0% North Texas Pathology 100% Lakepoint Radiology Assoc 0%

Century Integrated Partners 0% Service not available 0%

San Angelo Community Medical Center San Angelo

West Texas Medical Associates, Joe Robinson, MD, Community Anesthesia Services

0%West Texas Medical Associates LLC, Jerry Gideon MD 0% San Angelo Radiologists 0%

San Angelo Emergency Medicine Associates, PA 0% Pediatrix Medical Group of Texas 0%

Shannon Medical Center San Angelo Shannon Clinic 0% Shannon Clinic 0% Shannon Clinic 0% Shannon Clinic 0% Service not available 0%

Baptist Emergency Hospital Hausman San Antonio Service not available 0% Service not available 0% M & S Radiology Associates 0%

Travis County Emergency Physicians 7% Service not available 0%

Baptist Emergency Hospital Kelly San Antonio Service not available 0% Service not available 0% M & S Radiology Associates 0%

Travis County Emergency Physicians 7% Service not available 0%

Baptist Emergency Hospital Overlook San Antonio Service not available 0% Service not available 0% M & S Radiology Associates 0%

Travis County Emergency Physicians 6% Service not available 0%

Page 35: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201935

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Baptist Emergency Hospital Shavano Park San Antonio Service not available 0% Service not available 0% M & S Radiology Associates 0%

Travis County Emergency Physicians 0% Service not available 0%

Baptist Emergency Hospital Thousand Oaks San Antonio Service not available 0% Service not available 0% M & S Radiology Associates 1%

Travis County Emergency Physicians 7% Service not available 0%

Baptist Emergency Hospital Westover Hills San Antonio Service not available 0% Service not available 0% M & S Radiology Associates 0%

Travis County Emergency Physicians 3% Service not available 0%

Baptist Emergency Hospital Zarzamora San Antonio Service not available 0% Service not available 0% M & S Radiology Associates 0%

Travis County Emergency Physicians 7% Service not available 0%

Baptist Medical Center San Antonio

South Texas Anesthesia Group, US Anesthesia Partners of Texas PA, Tejas Anesthesia

0% Clinical Pathology Associates 0% M & S Radiology Associates 0%Travis County Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

Baptist Orthopedic Hospital San Antonio

South Texas Anesthesia Group, US Anesthesia Partners of Texas PA, Tejas Anesthesia

1% Clinical Pathology Associates 0% M & S Radiology Associates 0%Travis County Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

Childrens Hospital of San Antonio San Antonio

US Anesthesia Partners of Texas PA, BCM Physicians of San Antonio

3%Pathology Associates of San Antonio 0% River City Imaging Associates 6%

BCM Physicians of San Antonio, Victoria Emergency Partners

0% Pediatrix Medical Group of Texas 0%

Christus Santa Rosa Emergency center-Alon Towne Centre

San Antonio Service not available 0%Pathology Associates of San Antonio 0% River City Imaging Associates 0%

Victoria Emergency Partners 0% Service not available 0%

Christus Santa Rosa Hospital Alamo Heights San Antonio

US Anesthesia Partners of Texas PA 0%

Pathology Associates of San Antonio 0% River City Imaging Associates 0%

Victoria Emergency Partners 0% Service not available 0%

Page 36: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201936

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Christus Santa Rosa Hospital Westover Hills San Antonio

US Anesthesia Partners of Texas PA 0%

Pathology Associates of San Antonio 0% River City Imaging Associates 0%

Victoria Emergency Partners 0% Pediatrix Medical Group of Texas 0%

Christus Santa Rosa Medical Center San Antonio

US Anesthesia Partners of Texas PA 0%

Pathology Associates of San Antonio 0% River City Imaging Associates 0%

Victoria Emergency Partners 0% Service not available 0%

Foundation Surgical Hospital of San Antonio San Antonio None in network 0% None in network 0% None in network 0% None in network 0% None in network 0%

Legent Orthopedic Plus Spine San Antonio None in network 0% Services not available 0% None in network 0% None in network 0% Services not available 0%

Methodist Childrens Hospital of South Texas San Antonio Tejas Anesthesia 0%

South Texas Pathology Associates 0% South Texas Radiology Group 0%

Texas EM-I Medical Services, Floyd Ridge Emergency Physicians

0% Pediatrix Medical Group of Texas 1%

Methodist Hospital San AntonioTejas Anesthesia,US Anesthesia Partners of Texas PA

0%South Texas Pathology Associates 0% South Texas Radiology Group 0%

Texas EM-I Medical Services, Floyd Ridge Emergency Physicians

0% Service not available 1%

Methodist Specialty And Transplant Hospital San Antonio Tejas Anesthesia 0%

South Texas Pathology Associates 0% South Texas Radiology Group 0%

Texas EM-I Medical Services, Floyd Ridge Emergency Physicians

0% Service not available 0%

Methodist Stone Oak Hospital San Antonio

US Anesthesia Partners of Texas PA 0%

South Texas Pathology Associates 0% South Texas Radiology Group 0%

Texas EM-I Medical Services, Floyd Ridge Emergency Physicians

1% Pediatrix Medical Group of Texas 0%

Methodist Texsan Hospital San Antonio Tejas Anesthesia 0%Pathology Associates of San Antonio 0% South Texas Radiology Group 0%

Hawk Emergency Physicians 0% Service not available 0%

Page 37: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201937

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Metropolitan Methodist Hospital San Antonio

US Anesthesia Partners of Texas PA 0%

Pathology Associates of San Antonio 0% South Texas Radiology Group 0%

TX-I Medical Services, Countdown City Emergency Physicians

0% Pediatrix Medical Group of Texas 0%

Mission Trail Baptist Hospital San Antonio

South Texas Anesthesia Group, US Anesthesia Partners of Texas PA, Tejas Anesthesia

1% Clinical Pathology Associates 0% M & S Radiology Associates 0%Travis County Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

North Central Baptist Hospital San Antonio

South Texas Anesthesia Group, US Anesthesia Partners of Texas PA, Tejas Anesthesia

1% Clinical Pathology Associates 0% M & S Radiology Associates 0%Travis County Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

Northeast Baptist Hospital San Antonio

South Texas Anesthesia Group, US Anesthesia Partners of Texas PA, Tejas Anesthesia

0% Clinical Pathology Associates 0% M & S Radiology Associates 0%Travis County Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

South Texas Spine And Surgical Hospital LP San Antonio

US Anesthesia Partners of Texas PA, UT Health Physicians, Tejas Anesthesia, South Texas Anesthesia Group

52% Village Oaks Pathology Services 0% River City Imaging Associates 0% None in network 97% Service not available 0%

Southwest General Hospital San Antonio EmergencHealth 9% Village Oaks Pathology Services 0% South Texas Radiology Group 0%Southwest General Emergency Physicians 5% Pediatrix Medical Group of Texas 0%

St Lukes Baptist Hospital San Antonio

South Texas Anesthesia Group, US Anesthesia Partners of Texas PA, Tejas Anesthesia

1% Clinical Pathology Associates 0% M & S Radiology Associates 0%Travis County Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

The Childrens Hospital of San Antonio Emergency Center Stone

San Antonio Service not available 3% Service not available 0% Service not available 6%Victoria Emergency Partners 0% Service not available 0%

Page 38: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201938

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

University Hospital San AntonioUT Health Physicians, Tejas Anesthesia 0% UT Health Physicians 0% UT Health Physicians 3% UT Health Physicians 3%

UT Health Physicians, University Medicine Associates 0%

Memorial Medical Center-San Augustine San Augustine

AC Provider Services of Texas LLC 0% None in network 0% Angelina Diagnostic Radiology 0%

Camino Real Emergency Physicians PLLC(Emcare) & Texas EM-1 Medical Services PA(Emcare)

0% Service not available 0%

Christus Santa Rosa Hospital - San Marcos San Marcos

US Anesthesia Partners of Texas PA 0%

Clinical Pathology Associates; Central Texas Pathology Associates

0% San Marcos Medical Imaging 5%Hill Country Emergency Medical Associates PA 2% Pediatrix Medical Group of Texas 0%

Baptist Emergency Hospital Schertz Schertz Service not available 0% Service not available 0% M & S Radiology Associates 0%

Travis County Emergency Physicians 2% Service not available 0%

Guadalupe Regional Medical Center Seguin

Anesthesia Associates of Seguin 6% Clinical Pathology Associates 0% San Marcos Medical Imaging 17%

Travis County Emergency Physicians 0% GRMC Hospitalist Group 0%

Memorial Hospital Seminole Memorial Hospital 0% Memorial Hospital 0%High Plains Radiological Association 0% Memorial Hospital 0% Service not available 0%

Seymour Hospital SeymourBaylor County Hospital District 0% Affiliated Pathology Services 0%

Radiology Associates of Wichita Falls 23%

Baylor County Hospital District 0% Service not available 0%

Shamrock General Hospital Shamrock Service not available 0% None in network 0% High Plains Radiology 0%Shamrock General Hospital ER 0% Service not available 0%

Baylor Scott and White Sherman Surgical Hospital at Sherman

Sherman None in network 0% None in network 0% None in network 100% None in network 0% None in network 0%

Page 39: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201939

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Wilson N Jones Regional Medical Center Sherman Pinnacle Anesthesia 0%

Ameripath Pathologists Biomedical (PBM) 0% None in Network 100% None in network 100% Service not available 0%

Ascension Seton Smithville Smithville YPS Anesthesia LLC 0% Clinical Pathology Associates 0%Austin Radiological Association PA 0% Emergency Service Partners 0% Service not available 0%

Cogdell Memorial Hospital SnyderFlatland Anesthesia and Pain Services PLLC; Northstar Anesthesia PA

0% Ameripath 0% Lubbock Diagnostic Radiology 0%Western Texas Emergency Physicians PLLC; Cogdell Family Clinic

0% Service not available 0%

Lillian M Hudspeth Memorial Hospital Sonora Service not available 0% Jason Gregorio MD 0% Radiology Parnters 0%

Lillian M Hudspeth Memorial Hospital 0% Pediatrix Medical Group of Texas 0%

Methodist Southlake Hospital Southlake

US Anesthesia Partners of Texas PA 14%

Pathologists Bio-Medical Laboratories LLP 0%

Radiology Associates of North Texas 0%

Live Oak Emergency PhysiciansTexas Emergency Room Services

0% Service not available 0%

Hansford County Hospital Spearman Service not available 0% Amarillo Pathology Associates   0% High Plains Radiology 0%Hansford County Health District, Mark Garnett DO, Abdullah Dar MD

0% Service not available 0%

Texas Health Harris Methodist Hospital Stephenville

StephenvilleNorthstar Anesthesia PA; Wharton Anesthesia PA 0% Clinical Pathology Associates 0% None in network 100%

Texas Medicine Resources LLP 0% Service not available 0%

Houston Methodist Sugar Land Hospital Sugar Land

US Anesthesia Partners of Texas PA 0% Methodist Pathology Associates 0% Houston Radiology Associated 30%

EmergiGroup Physician Associates, PA 97% Texas Childrens Physician Group 0%

Memorial Hermann Surgical Hospital First Colony Sugar Land

US Anesthesia Partners of Texas PA 0%

Brown & Associates Medical Laboratories, LLP 0% Singleton Associates 0% Services not available 0% Pediatrix Medical Group of Texas 0%

Page 40: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201940

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

MHHS Sugar Land Hospital Sugar LandUS Anesthesia Partners of Texas PA 0%

Brown & Associates Medical Laboratories, LLP, 0% Singleton Associates 2%

Memorial Hermann Emergency Physicians, 34% Pediatrix Medical Group of Texas 0%

St Lukes Sugar Land Hospital Sugar Land

US Anesthesia Partners of Texas PA 0%

Community Pathology Associates 0% Singleton Associates 0% None in network 87% Texas Childrens Physician Group 0%

United Memorial Medical Center Sugar Land Hospital Sugar Land None in network 0% None in Network 0% Singleton Associates 0%

United Memorial Medical Center Physicians Group 0% Service not available 0%

Christus Mother Frances Hospital Sulphur Springs

Sulphur Springs None in network 100% Pathology Associates PA 0% Neuro IR of East Texas 0% Trinity Clinic 0% Service not available 0%

Baylor Scott and White Medical Center Sunnyvale Sunnyvale None in network 0% Service not available 0% Service not available 80%

Ray Hubbard Emergency Physicians 44%

Newborn Intensive Care Specialists PA 0%

Sweeny Community Hospital Sweeny George Deleon MD 0%

Memorial Pathology Consultants 0% Singleton Associates 0% None in network 100% Service not available 0%

Rolling Plains Memorial Hospital Sweetwater None in network 0% Clinical Pathology Associates 0% None in network 0%

Texas EM-1 Medical Services, P.A.; Hubbard Creek Emergency Physicians PLLC

0% Service not available 0%

Lynn County Hospital Dist Tahoka Service not available 0% Quest 0% High Plains Radiological Association

0%

Melanie Richburg, FNP; Shannon Hammonds FNP, Ashley Skrabanek FNP, Sara Hite, FNP, Christopher Leach, MD, Kimberley Billingsley, FNP

0% Service not available 0%

Scott and White Hospital-Taylor Taylor

Scott and White Clinic; Scott and White Taylor Hospital 0% Scott and White Clinic 0% Scott and White Clinic 0%

Scott and White Clinic; Scott and White Taylor Hospital

0% Service not available 0%

Page 41: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201941

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Baylor Scott and White McLane Childrens Medical Center

Temple Scott and White Clinic 3% Scott and White Clinic 0% Scott and White Clinic 2% Scott and White Clinic 0% Scott and White Clinic 0%

Baylor Scott and White Medical Center - Temple Temple Scott and White Clinic 3% Scott and White Clinic 0% Scott and White Clinic 2% Scott and White Clinic 0% Scott and White Clinic 0%

Christus St Michael Health System Texarkana

NorthStar Anesthesia PA;Independent Anesthesia of Texarkana LLP/ Ark La Tex PHO

0% Delta Pathology 0% Radiology Consultants, LLP 0%Travis Co. Emergency Physicians/US Acute Care Solutions

0% Pediatrix Medical Group of Texas 0%

Wadley Regional Medical Center Texarkana Northstar Anesthesia PA 0% George English, MD 0%

Christopher Mcmillan, Douglas Trippe, MD, Steven Holman, MD, and William Brown, MD(Ark La Tex)

0%Texarkana Emergency Physicians, PLLC 0% None in network 0%

HCA Houston Healthcare Mainland Texas City Patients Anesthesia Group 0% SJ Associated Pathologists 0%

Mainland Radiology Associates 0% Compass Point Emergency P 0% Service not available 0%

Houston Methodist The Woodlands Hospital

The Woodlands

US Anesthesia Partners of Texas PA 0% Methodist Pathology Associates 0% Houston Radiology Associated 34%

Woodlands Emergency Physicians 91% Texas Childrens Physician Group 0%

MHHS The Woodlands Hospital

The Woodlands

US Anesthesia Partners of Texas PA 0%

Memorial Pathology Consultants 0% Synergy Radiology Associates 0%

Memorial Hermann Emergency Physicians 31% Pediatrix Medical Group of Texas 0%

St Lukes Lakeside HospitalThe Woodlands

US Anesthesia Partners of Texas PA 0%

Community Pathology Associates 0% Singleton Associates 0% None in network 100% None in network 0%

St Lukes The Woodlands Hospital

The Woodlands

US Anesthesia Partners of Texas PA 0%

Community Pathology Associates 0% None in network 0% None in network 81% None in network 0%

Page 42: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201942

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

HCA Houston Tomball Tomball Bayou Anesthesia & Pain 0%North Houston Pathology Associates 5% None in Network 0%

Herald Emergency Physicians, PLLC(Envision) 2% Pediatrix Medical Group of Texas 22%

Baylor Scott and White Medical Center - Trophy Club

Trophy ClubNoble Anesthesia Partners PLLC 0%

Ameripath Pathologists Biomedical (PBM) 0% None in network 0%

Bay Prairie Emergency Physicians 0% Service not available 0%

Swisher Memorial Hospital Tulia Service not available 0% Quest 0% Lubbock Radiology 0% Swisher Memorial Hospital 0% Service not available 0%

Christus Mother Francis Hospital South Tyler Tyler Trinity Clinic 0%

Trinity Pathology AssociatesPathology Associates of Tyler 0% Neuro IR of East Texas 0% Trinity Clinic 21% Services not available 0%

Louis and Peaches Owen Heart Hospital Tyler Trinity Clinic 0%

Trinity Pathology AssociatesPathology Associates of Tyler 0% Neuro IR of East Texas 0% Trinity Clinic 21% Services not available 0%

Mother Frances Hospital Tyler Trinity Clinic 0%Trinity Pathology AssociatesPathology Associates of Tyler 0% Neuro IR of East Texas 0% Trinity Clinic 21% Trinity Clinic 0%

The University of Texas Health Science Center at Tyler

Tyler US Anesthesia Partners of Texas PA 0% None in network 53%

University of Texas Health Center at Tyler 0%

University of Texas Health Center at Tyler 0% Service not available 0%

Uvalde Memorial Hospital UvaldeUvalde County Hospital Authority Group 0% Village Oaks Pathology Services 0%

Radiology Associates of Uvalde 11%

Victoria Emergency Associates 0% Service not available 0%

Wilbarger General Hospital Vernon None in network 0%Pathology Associates of North Texas PA 0% None in Network 0%

Concord Medical Group of Texas 0% None in network 0%

Page 43: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201943

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Citizens Medical Center VictoriaVictoria Anesthesiology Associates 0% None in network 100% None in network 0%

Oleander Emergency Medicine Associates 9%

Children's Physician Services of South Texas 0%

DeTar Healthcare System VictoriaVictoria Anesthesiology Associates 0% Baylor Pathology 0%

Santiago Marroquin MD, John Mikus MD 0%

Lone Star Emergency Associates 2% Onsite Neonatal Texas PLLC 0%

DeTar Healthcare System VictoriaVictoria Anesthesiology Associates 0% Baylor Pathology 0%

Santiago Marroquin MD, John Mikus MD 0%

Lone Star Emergency Associates 2% Onsite Neonatal Texas PLLC 0%

Ascension Providence WacoMid Texas Anesthesia Associates PA; Providence Health Center ER

4% Waco Pathology Associates PA, 0%Central Texas Radiological Association PA 0%

McLennan County Hospitalist Services 0% Service not available 64%

Baylor Scott And White Medical Center Hillcrest Waco Scott and White Clinic 0% Scott and White Clinic 0% Scott and White Clinic 0%

Century Integrated Partners; Scott and White Clinic

2%Scott and White Clinic, Pediatrix Medical Group of Texas 44%

Baylor Medical Center at Waxahachie Waxahachie None in network 100%

Pathology Associates of North Texas PA 0% None in Network 38%

Century Integrated Partners 0% Pediatrix Medical Group of Texas 0%

Medical City Weatherford WeatherfordWeatherford Anesthesia Associates PA 0% Propath Associates 0% Peachtree Radiology 0% Questcare Medical Services 0% Service not available 0%

HCA Houston Clear Lake Webster None in network 0% None in network 73%EMCare (Tx-1 Medical Services, PA) 0%

Compass Point Emergency Physicians, PLLC(Emcare) 1% Pediatrix Medical Group of Texas 0%

UTMB Clear Lake Webster UTMB Faculty Group Practice 0% UTMB Faculty Group Practice 0% UTMB Faculty Group Practice 0%Scurry Emergency Medicine Associates PA 0% UTMB Faculty Group Practice 0%

Page 44: Texas NPOS - Humana

* Total Dollar Amounts Billed 01/1/2019 - 12/31/201944

Hospital City Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

Provider

% Dollars Billed Out

of Network*

National POS - Open AccessCurrent as of October 2021

Counties: Andrews, Angelina, Atascosa, Austin, Bailey, Bastrop, Baylor, Bee, Bell, Bexar, Bosque, Bowie, Brazoria, Brazos, Brewster, Brown, Burleson, Burnet, Caldwell, Calhoun, Cameron, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Collin, Collingsworth, Colorado, Comal, Comanche, Cooke, Crane, Crosby, Dallam, Dallas, Deaf Smith, Denton, DeWitt, Eastland, Ector, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Frio, Galveston, Gillespie, Gonzalez, Gray, Grayson, Gregg, Guadalupe, Hale,

Hamilton, Hansford, Harris, Harrison, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Howard, Hunt, Hutchinson, Jack, Jackson, Jasper, Jefferson, Jim Wells, Jones, Karnes, Kaufman, Kerr, Kleberg, Lamb, Lampasas, Lavaca, Liberty, Limestone, Llano, Lubbock, Lynn, Matagorda, Maverick, McLennan, Medina, Midland, Milam, Mitchell, Montague, Montgomery, Moore, Nacogdoches, Nueces, Ochiltree, Orange, Parker, Parmer, Pecos, Polk, Potter, Refugio, Rockwall, Sabine, San Augustine, San Patricio, Scurry, Smith, Somervell,

Starr, Swisher, Tarrant, Taylor, Terry, Titus, Tom Green, Travis, Upton, Uvalde, Van Zandt, Victoria, Walker, Webb, Wharton, Wheeler, Wichita, Williamson, Wilson, Winkler, Wise, Wood

Anesthesiology Pathology Radiology Emergency Physicians Neonatology

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

Collingsworth General Hospital Wellington Service not available 0% Service not available 0% High Plains Radiology 0%

Bethany Pickard, MD, Hayden Behling PA 0% Service not available 0%

Knapp Medical Center Weslaco Clinical Associates 0% Mid Valley Pathology 0% West Valley Radiology 0%Rio Grande Valley Emergency Physicians 0% Pediatrix Medical Group of Texas 0%

Valley Baptist Micro Hospital Weslaco Weslaco None in network 0% None in network 0% None in network 0% None in network 0% None in network 0%

The Hospital At Westlake Medical Center West Lake Hills

Westlake Anesthesia Group PA 14%

Clinical Pathology Associates; Westlake Eye Specialists 0%

Austin Radiological Association PA 0%

Oleander Emergency Medicine Associates PA 95% Eric D Schultz DO PA 0%

Parkview Hospital Wheeler Service not available 0% Labcorp 0% High Plains Radiological 0% Schumacher Medical Group 0% Service not available 0%

Kell West Regional Hospital Wichita Falls None in network 0% None in network 0% Radiology Associates 0%Lucy Park Emergency Physicians 0% None in network 0%

Riceland Medical Center Winnie None in network 0%Diagnostic Pathology Associates 0%

Houston Northwest Radiology Assoc 0% Riceland Medical Clinic 18% Service not available 0%

Mother Frances Hospital Winnsboro Winnsboro None in network 0%

Trinity Pathology AssociatesPathology Associates of Tyler 0% Tyler Radiology Associates 0% Trinity Clinic 0% Service not available 0%

Tyler County Hospital District Woodville Service not available 0%

Diagnostic Pathology Associates 0%

Radiology Associates, Beaumont Radiology 0%

Emergency Physicians of West Bluff PLLC(Emcare) 0% Service not available 0%

Yoakum Community Hospital Yoakum None in network 53% None in network 100% None in network 0%

Victoria Emergency Partners LLC 0% Service not available 0%