Every contracted rate, benchmarked code by code against federal Transparency-in-Coverage filings, Medicare locality math, and peer percentiles — then turned into the letter you send.
Illustrative figures from a representative behavioral health panel, clearly marked as sample. Your report computes every number from your NPI's indexed payer rates and real volume.
Not a mockup: these rows are calculated live from the CMS Physician Fee Schedule with GPCI locality adjustment at 110% — the benchmark behavioral health billers already trust, automated. Codes the fee schedule does not price honestly say so, rather than showing an invented number.
| Code | Service | Medicare base | Benchmark ×1.10 | Status |
|---|---|---|---|---|
| Computing live from CMS PFS + GPCI… | ||||
In the live report, the code with the highest annual uplift is always fully unlocked: every payer line, every percentile, the expanded view. Sample values below.
| Code | Payer | Your rate | Peer P75 | Gap / unit | Unlock |
|---|---|---|---|---|---|
| 90837 | Payer A sample | $96.40 | $132.00 | +$35.60 | Unlocked |
| 90837 | Payer B sample | $101.25 | $128.50 | +$27.25 | Unlocked |
| 90868 | UnitedHealthcare West | $188.00 | $221.40 | +$33.40 | Unlock data → |
| S9480 | Aetna Behavioral | $612.00 | $745.00 | +$133.00 | Unlock data → |
| H0015 | BCBS of Texas | $540.00 | $655.00 | +$115.00 | Unlock data → |
Every audit closes with the Leverage Memo: the renegotiation letter citing the payer's own federally filed rates, ready to sign and send.
The live audit runs on your NPI: your payers, your contracted rates, your locality math, and the letter ready to send.