RateScore · NPI 1164431193

Mandisa Jones

pt · Atlanta-Sandy Springs-Roswell, GA

420
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Critical: well below local peers
21.7% local percentile  ·  low peer-sample confidence
Scored as of August 18, 2026
420published rate records
2payers scored
2scoreable contract cells
136sanitized records

Aetna is the worst-paying contract we can score for Mandisa Jones. 82.5% 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.

This record is unclaimed
Nobody has verified ownership of this NPI's profile yet. Claiming is free, takes under a minute, and unlocks nothing you don't already see here for free — it just lets you correct your own record.
Claim this record — free →

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
Aetna 1 Local $19.67 $24.97 −$5.30 396
Anthem Blue Cross Blue Shield (GA file) 1 Local $88.93 $88.93 $0.00 443

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 97110 Local $19.67 $24.97 $69.63 $49.96 117
Anthem Blue Cross Blue Shield (GA file) 97162 Local $88.93 $88.93 $116.33 $27.40 283

What insurers pay nationally for these codes: 97110 · 97162

The free promise

This RateScore is free forever, for every NPI in America. It cannot be bought, suppressed, improved, or removed — nobody can pay us to raise it, hide it, or take it down. Correcting your own record, once claimed, is free and unlimited. We have never accepted, and will never accept, revenue from a health plan, a payer, or any entity that adjudicates or prices a claim. Read the Covenant →

Share this score

Mandisa Jones's RateScore is public and permanent at this URL. Free, and it cannot be bought.