RateScore · NPI 1083041503

James Sangho Yoon

Los Angeles-Long Beach-Anaheim, CA

608
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Fair position
55.9% local percentile  ·  high peer-sample confidence
Scored as of August 18, 2026
217published rate records
2payers scored
27scoreable contract cells
90sanitized records

Blueshield Ca is the worst-paying contract we can score for James Sangho Yoon. 45.0% of local peers, paid by the same payer for the same codes in the same metro, are paid more. That is the payer's pricing decision, not a reflection on this provider.

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Position by payer

Your median contracted rate vs the local peer median, per payer, for every payer we can score in Los Angeles-Long Beach-Anaheim, CA. Where a Blue Cross entity's label carries a state, that state names the file we found the rate in, not this practice's location. Blue Cross plans file separately per state and do not share rates, even for the same provider.

PayerCodesBasisYour medianLocal peer medianGapRateScore
Blueshield Ca 26 Local $168.45 $163.82 +$4.63 602
Centene 1 Local $269.50 $234.35 +$35.15 718

Documented reimbursement opportunity

The largest per-encounter gaps to the local P90 target, code by code. Modeled from published rates, not guaranteed, per encounter, not annualized.

PayerCPTBasisYour rateLocal peer medianLocal P90Per-encounter gapPeers
Blueshield Ca 22510 Local $3,957.02 $3,647.29 $7,093.74 $3,136.72 80
Blueshield Ca 66711 Local $1,146.46 $993.03 $2,087.26 $940.80 76
Blueshield Ca 64719 Local $860.12 $785.22 $1,568.76 $708.64 71
Blueshield Ca 93657 Local $814.16 $814.16 $1,478.02 $663.86 89
Blueshield Ca 78278 Local $599.85 $590.91 $1,075.79 $475.94 80
Blueshield Ca 90732 Local $197.02 $194.61 $474.04 $277.02 82
Blueshield Ca 96921 Local $336.35 $318.24 $604.63 $268.28 81
Blueshield Ca A9500 Local $232.29 $239.33 $432.21 $199.92 81
Blueshield Ca G0439 Local $236.79 $236.79 $430.54 $193.75 1140
Blueshield Ca 99215 Local $227.00 $284.94 $415.12 $188.12 2174

What insurers pay nationally for these codes: 99215

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