Trusha P. Bhatia
Fort Wayne, IN
Anthem Blue Cross Blue Shield (IN file) is the worst-paying contract we can score for Trusha P. Bhatia — 65.8% 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.
Position by payer
Your median contracted rate vs the local peer median, per payer, for every payer we can score in Fort Wayne, IN. 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.
| Payer | Codes | Your median | Local peer median | Gap | RateScore |
|---|---|---|---|---|---|
| Anthem Blue Cross Blue Shield (IN file) | 8 | $65.20 | $69.61 | −$4.41 | 488 |
| UnitedHealthcare | 5 | $64.00 | $64.00 | $0.00 | 550 |
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.
| Payer | CPT | Your rate | Local median | Local P90 | Per-encounter gap | Peers |
|---|---|---|---|---|---|---|
| Anthem Blue Cross Blue Shield (IN file) | 99213 | $62.83 | $73.92 | $134.38 | $71.55 | 250 |
| Anthem Blue Cross Blue Shield (IN file) | 17110 | $65.62 | $65.62 | $120.21 | $54.59 | 12 |
| Anthem Blue Cross Blue Shield (IN file) | 99203 | $93.87 | $107.24 | $140.76 | $46.89 | 84 |
| Anthem Blue Cross Blue Shield (IN file) | 11103 | $28.05 | $28.05 | $53.76 | $25.71 | 10 |
| Anthem Blue Cross Blue Shield (IN file) | 99202 | $64.78 | $70.69 | $88.68 | $23.90 | 18 |
| UnitedHealthcare | 17110 | $111.00 | $111.00 | $130.00 | $19.00 | 11 |
| UnitedHealthcare | 11102 | $102.00 | $102.00 | $120.00 | $18.00 | 11 |
| Anthem Blue Cross Blue Shield (IN file) | 17000 | $68.54 | $68.54 | $80.36 | $11.82 | 13 |
| UnitedHealthcare | 17000 | $64.00 | $64.00 | $75.00 | $11.00 | 11 |
| UnitedHealthcare | 11103 | $51.00 | $51.00 | $60.00 | $9.00 | 10 |
What insurers pay nationally for these codes: 99213 · 17110 · 99203 · 17000
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