Mark Emmett Kenter
San Jose-Sunnyvale-Santa Clara, CA
Position by payer
Your median contracted rate vs the local peer median, per payer, for every payer we can score in San Jose-Sunnyvale-Santa Clara, 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.
| Payer | Codes | Your median | Local peer median | Gap | RateScore |
|---|---|---|---|---|---|
| UnitedHealthcare | 1 | $113.00 | $83.00 | +$30.00 | 742 |
| Cigna | 1 | $812.32 | $403.26 | +$409.06 | 750 |
| Blueshield Ca | 28 | $618.00 | $441.89 | +$176.11 | 755 |
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.
| Payer | CPT | Your rate | Local median | Local P90 | Per-encounter gap | Peers |
|---|---|---|---|---|---|---|
| Blueshield Ca | 00142 | $100.00 | $100.00 | $896.15 | $796.15 | 72 |
| Blueshield Ca | 72195 | $1,637.99 | $1,891.89 | $1,891.89 | $253.90 | 43 |
| Blueshield Ca | G0166 | $714.29 | $714.29 | $810.12 | $95.83 | 26 |
| Blueshield Ca | 72129 | $1,200.87 | $1,222.99 | $1,245.11 | $44.24 | 42 |
| Blueshield Ca | 99459 | $93.87 | $97.56 | $121.69 | $27.82 | 36 |
| Blueshield Ca | 96523 | $168.20 | $168.20 | $183.15 | $14.95 | 38 |
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