RateScore · NPI 1164422838

Seongpan Si

obgyn · New York-Newark-Jersey City, NY-NJ

512
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Weak: meaningfully below local peers
38.6% local percentile  ·  medium peer-sample confidence
Scored as of August 18, 2026
360published rate records
2payers scored
3scoreable contract cells
106sanitized records

Aetna is the worst-paying contract we can score for Seongpan Si. 65.9% 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.

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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 New York-Newark-Jersey City, NY-NJ. 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
Aetna 2 Local $53.50 $63.33 −$9.83 488
Empire BlueCross BlueShield (NY file) 1 Local $50.49 $49.59 +$0.90 588

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
Aetna Q0091 Local $57.20 $71.23 $160.83 $103.63 251
Aetna G0101 Local $49.79 $55.43 $135.91 $86.12 325
Empire BlueCross BlueShield (NY file) G0101 Local $50.49 $49.59 $106.12 $55.63 143
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