RateScore · NPI 1083119275

Matthew Joseph Findlay

Charlotte-Concord-Gastonia, NC-SC

613
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Fair position
57.0% local percentile  ·  high peer-sample confidence
Scored as of August 18, 2026
348published rate records
2payers scored
68scoreable contract cells
156sanitized records

Centene is the worst-paying contract we can score for Matthew Joseph Findlay. 44.6% 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 Charlotte-Concord-Gastonia, NC-SC. 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
Centene 48 Local $135.59 $135.59 $0.00 604
Bcbs Nc 20 Local $92.08 $85.04 +$7.04 762

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
Bcbs Nc 81295 Local $216.04 $220.81 $381.70 $165.66 148
Bcbs Nc 81376 Local $166.74 $122.22 $239.86 $73.12 128
Centene 12011 Local $77.98 $77.98 $141.87 $63.89 4527
Bcbs Nc G0439 Local $191.80 $191.80 $246.62 $54.82 1086
Centene 10060 Local $137.05 $137.05 $185.68 $48.63 4875
Bcbs Nc 99213 Local $101.92 $94.12 $147.94 $46.02 3735
Centene 10061 Local $248.89 $248.89 $290.61 $41.72 4379
Centene 52310 Local $392.44 $392.44 $433.77 $41.33 4831
Bcbs Nc 86359 Local $57.55 $26.41 $94.72 $37.17 122
Centene 11102 Local $134.12 $134.12 $144.56 $10.44 4843

What insurers pay nationally for these codes: 12011 · 10060 · 99213 · 10061 · 52310

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