Benjamin Hsu
derm · Spokane-Spokane Valley, WA
Anthem National is the worst-paying contract we can score for Benjamin Hsu — 74.9% 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 Spokane-Spokane Valley, WA. 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 National | 177 | $96.43 | $108.77 | −$12.34 | 438 |
| UnitedHealthcare | 9 | $78.31 | $150.28 | −$71.97 | 438 |
| Aetna Ca | 7 | $36.00 | $40.00 | −$4.00 | 447 |
| Cigna | 6 | $92.92 | $108.10 | −$15.18 | 467 |
| Aetna | 2 | $200.48 | $200.48 | $0.00 | 564 |
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 National | 23472 | $1,984.75 | $1,984.75 | $4,248.03 | $2,263.28 | 435 |
| Anthem National | 27447 | $1,762.65 | $1,762.65 | $3,776.03 | $2,013.38 | 435 |
| Anthem National | 29827 | $1,474.28 | $1,474.28 | $3,153.49 | $1,679.21 | 435 |
| Anthem National | 28296 | $1,211.96 | $1,211.96 | $2,555.23 | $1,343.27 | 435 |
| Anthem National | 64635 | $262.78 | $376.99 | $1,262.56 | $999.78 | 437 |
| Anthem National | 45385 | $342.29 | $499.21 | $1,307.24 | $964.95 | 436 |
| Anthem National | 43245 | $237.18 | $274.99 | $1,146.29 | $909.11 | 436 |
| Anthem National | 29881 | $754.05 | $754.05 | $1,616.08 | $862.03 | 435 |
| Anthem National | 95811 | $729.37 | $729.37 | $1,561.69 | $832.32 | 438 |
| Anthem National | 95810 | $696.93 | $696.93 | $1,489.82 | $792.89 | 438 |
What insurers pay nationally for these codes: 23472 · 27447 · 29827 · 28296 · 64635 · 45385 · 43245 · 29881 · 95811 · 95810
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