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Rate Leverage

Six months of rate gaps, replayed.

Drop one NPI or paste your whole portfolio, and Reddenda replays six months of rate gaps against your local-peer P90 target. The documented opportunity you have been walking past, quantified quarter by quarter and modeled, not guaranteed.

No PHI, no card. Modeled opportunity to your local-peer P90 target, not guaranteed.
$5,749
The local-peer P90 for CPT 27447 (knee replacement) versus a $1,746 median. The backtest surfaces that top-of-market gap across your book.
Reddenda local-peer commercial rate index, CA. Modeled, not guaranteed.
Why it exists

The gap you never see is the one you keep signing.

Every quarter you bill at your contracted rate, a peer down the street bills the same CPT for two to three times more. On 99213, the local-commercial spread runs from an $86 median to a $239 P90, a 2.78x gap that never shows up on a claim or an EOB. Without a backtest, that underpayment just compounds, invisible, quarter after quarter.

See it on a real code
Pulling the local-peer benchmark...
Live from Reddenda's dataset - public federal Transparency-in-Coverage + CMS. Local-peer median, never national. No PHI. Modeled, not guaranteed.
How it works

How the backtest runs

STEP 1

Resolve, no PHI

Paste one NPI or a whole portfolio, and NPPES identity, Transparency-in-Coverage contracted rates, and CMS benchmarks resolve your book from public federal data alone.

STEP 2

Score every CPT

Each code is measured against the local-peer median and your P90 target, then the per-unit gap is multiplied across three, six, or twelve months of your real volume.

STEP 3

Replay and act

Watch the cumulative modeled opportunity accrue month by month, inspect the per-code gap matrix, export the CSV, and take the leverage memo to your payer.

What it does for you

Why it matters

2.78x
Local P50-to-P90 spread on CPT 99213
0 PHI
NPPES + Transparency-in-Coverage + CMS only
314M+
Rate records indexed across 500+ payers, 50 states
Independent practiceSee six months of rate gaps on your top CPTs in one screen, then walk the leverage memo into your next contract renewal.
Billing & RCMBacktest a whole client roster at once. Paste every NPI and rank books by documented opportunity to decide which contracts to renegotiate first.
Specialty groupHigh-dollar codes carry the widest gaps. 27447 runs $1,746 median to $5,749 P90, so a single knee-replacement contract can move the whole quarter.
MSORoll up every location into one portfolio backtest and see the aggregate modeled opportunity across the group. Multi-NPI portfolios, let us schedule a call.

Put a number on six months of rate gaps.

Run the backtest on your own NPIs now, or book a call and we will replay your full book with you.

Multi-NPI or a whole book? Schedule a call - never a listed price.