RateScore · NPI 1164464137

Prakash Bhatia, M.D.

Psychiatry · San Diego-Chula Vista-Carlsbad, CA

379
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Critical: well below local peers
14.3% local percentile  ·  medium peer-sample confidence
Scored as of August 18, 2026
367published rate records
3payers scored
3scoreable contract cells
155sanitized records

Centene is the worst-paying contract we can score for Prakash Bhatia, M.D.. 91.5% 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.

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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 San Diego-Chula Vista-Carlsbad, CA. 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
Centene 1 Local $70.00 $80.31 −$10.31 347
Cigna 1 Local $88.53 $121.96 −$33.43 379
Aetna 1 Local $168.62 $172.37 −$3.75 429

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 90792 Local $168.62 $172.37 $524.24 $355.62 17
Cigna 99305 Local $88.53 $121.96 $187.22 $98.69 14
Centene 90847 Local $70.00 $80.31 $150.40 $80.40 413

What insurers pay nationally for these codes: 90792 · 90847

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