RateScore · NPI 1164434874

Mark A. Monaco

Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

754
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Strong position
82.6% local percentile  ·  medium peer-sample confidence
Scored as of August 18, 2026
36published rate records
2payers scored
7scoreable contract cells
23sanitized records
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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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD. 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
Highmark Blue Shield (PA file) 5 Local $135.27 $91.85 +$43.42 754
Aetna 2 Local $74.00 $38.25 +$35.75 771

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
Highmark Blue Shield (PA file) 99213 Local $144.85 $91.85 $152.58 $7.73 1170
Aetna 99490 Local $99.03 $49.28 $105.40 $6.37 97
Highmark Blue Shield (PA file) 99214 Local $211.61 $165.66 $214.64 $3.03 1390
Highmark Blue Shield (PA file) 90662 Local $135.27 $94.53 $137.21 $1.94 90
Highmark Blue Shield (PA file) 90480 Local $75.95 $45.28 $77.04 $1.09 51
Highmark Blue Shield (PA file) 93000 Local $23.61 $15.17 $23.95 $0.34 269

What insurers pay nationally for these codes: 99213 · 99214 · 93000

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