Robert Wayne Cox
Greenville, NC
Aetna is the worst-paying contract we can score for Robert Wayne Cox — 52.7% 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 Greenville, NC. 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 | 8 | $29.59 | $29.59 | $0.00 | 560 |
| Bcbs Nc | 48 | $13.51 | $13.07 | +$0.44 | 600 |
| UnitedHealthcare | 1 | $98.55 | $85.72 | +$12.83 | 661 |
| Cigna | 4 | $34.78 | $34.78 | $0.00 | 678 |
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 |
|---|---|---|---|---|---|---|
| Bcbs Nc | 99495 | $189.46 | $189.46 | $395.13 | $205.67 | 41 |
| Bcbs Nc | 99496 | $356.83 | $278.77 | $557.83 | $201.00 | 30 |
| Bcbs Nc | G0180 | $53.94 | $87.85 | $141.28 | $87.34 | 49 |
| Bcbs Nc | 20610 | $60.05 | $108.74 | $142.23 | $82.18 | 52 |
| Bcbs Nc | 87428 | $70.29 | $70.29 | $140.91 | $70.62 | 40 |
| Bcbs Nc | 99214 | $149.62 | $143.35 | $217.81 | $68.19 | 519 |
| Bcbs Nc | G0439 | $210.26 | $210.26 | $265.20 | $54.94 | 105 |
| Bcbs Nc | 80061 | $13.39 | $13.39 | $58.48 | $45.09 | 57 |
| Bcbs Nc | 83690 | $6.89 | $6.89 | $47.60 | $40.71 | 26 |
| Bcbs Nc | G0268 | $85.66 | $86.67 | $117.04 | $31.38 | 21 |
What insurers pay nationally for these codes: 20610 · 99214 · 80061
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