RateScore · NPI 1164484549

Ann-marie Whitney

Worcester, MA

331
/ 850  ·  300–850 vs the local peer median  ·  target the local P90
Critical — well below local peers
5.6% local percentile  ·  medium peer-sample confidence
Scored as of July 19, 2026
438published rate records
2payers scored
3scoreable contract cells
428sanitized records

UnitedHealthcare is the worst-paying contract we can score for Ann-marie Whitney — 94.4% 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 Worcester, MA. 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.

PayerCodesYour medianLocal peer medianGapRateScore
UnitedHealthcare 2 $59.15 $83.50 −$24.35 331
Aetna 1 $164.33 $331.47 −$167.14 346

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.

PayerCPTYour rateLocal medianLocal P90Per-encounter gapPeers
Aetna 00811 $164.33 $331.47 $426.23 $261.90 12
UnitedHealthcare 00790 $59.15 $86.00 $135.14 $75.99 9
UnitedHealthcare 00910 $59.15 $81.00 $102.23 $43.08 9
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