RateScore · NPI 1164414256

Gary Wayne Stewart

ortho · Atlanta-Sandy Springs-Roswell, GA

594
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Fair position
53.4% local percentile  ·  high peer-sample confidence
Scored as of August 18, 2026
329published rate records
3payers scored
15scoreable contract cells
123sanitized records

UnitedHealthcare is the worst-paying contract we can score for Gary Wayne Stewart. 55.6% 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 Atlanta-Sandy Springs-Roswell, GA. 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
UnitedHealthcare 3 Local $118.70 $123.78 −$5.08 544
Anthem Blue Cross Blue Shield (GA file) 10 Local $130.82 $108.39 +$22.43 592
Aetna 2 Local $109.03 $98.84 +$10.19 638

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
Anthem Blue Cross Blue Shield (GA file) 73721 Local $654.59 $654.59 $995.28 $340.69 55
Anthem Blue Cross Blue Shield (GA file) 77002 Local $226.52 $226.52 $375.98 $149.46 36
Anthem Blue Cross Blue Shield (GA file) 99214 Local $172.20 $188.00 $295.22 $123.02 2105
Anthem Blue Cross Blue Shield (GA file) 20605 Local $105.08 $105.08 $219.09 $114.01 29
Anthem Blue Cross Blue Shield (GA file) 73562 Local $80.11 $88.47 $173.37 $93.26 158
Anthem Blue Cross Blue Shield (GA file) 99212 Local $62.62 $67.82 $110.53 $47.91 349
Anthem Blue Cross Blue Shield (GA file) 73630 Local $100.68 $70.01 $145.02 $44.34 170
Anthem Blue Cross Blue Shield (GA file) 20610 Local $186.75 $165.23 $218.96 $32.21 202
UnitedHealthcare 20610 Local $141.00 $141.00 $167.80 $26.80 192
UnitedHealthcare 20600 Local $114.72 $123.78 $138.50 $23.78 41

What insurers pay nationally for these codes: 73721 · 99214 · 20605 · 73562 · 99212 · 20610 · 20600

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