Ross S Levy
derm · New York-Newark-Jersey City, NY-NJ
Aetna is the worst-paying contract we can score for Ross S Levy — 54.8% 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.
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.
| Payer | Codes | Your median | Local peer median | Gap | RateScore |
|---|---|---|---|---|---|
| Aetna | 5 | $260.21 | $273.47 | −$13.26 | 549 |
| Empire BlueCross BlueShield (NY file) | 9 | $181.52 | $87.77 | +$93.75 | 798 |
| UnitedHealthcare | 12 | $745.17 | $158.72 | +$586.45 | 823 |
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 |
|---|---|---|---|---|---|---|
| Aetna | 14021 | $750.25 | $750.25 | $3,185.17 | $2,434.92 | 12 |
| Empire BlueCross BlueShield (NY file) | 12032 | $69.17 | $389.42 | $1,385.21 | $1,316.04 | 56 |
| UnitedHealthcare | 14040 | $3,251.09 | $1,214.46 | $4,166.77 | $915.68 | 36 |
| Aetna | 12032 | $260.21 | $273.47 | $841.72 | $581.51 | 48 |
| Aetna | 17262 | $149.91 | $160.55 | $486.88 | $336.97 | 60 |
| Aetna | J7308 | $585.03 | $423.17 | $819.92 | $234.89 | 12 |
| Aetna | 17110 | $94.83 | $103.46 | $255.47 | $160.64 | 271 |
| Empire BlueCross BlueShield (NY file) | 17262 | $377.83 | $286.10 | $445.30 | $67.47 | 57 |
| UnitedHealthcare | 11102 | $204.18 | $121.50 | $250.08 | $45.90 | 424 |
| UnitedHealthcare | 14021 | $3,718.03 | $882.38 | $3,729.98 | $11.95 | 18 |
What insurers pay nationally for these codes: 17110
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