RateScore · NPI 1164484549

Ann-marie Whitney

Worcester, MA

331
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Critical: well below local peers
5.6% local percentile  ·  medium peer-sample confidence
Scored as of August 18, 2026
492published rate records
2payers scored
3scoreable contract cells
482sanitized 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.

PayerCodesBasisYour medianLocal peer medianGapRateScore
UnitedHealthcare 2 Local $59.15 $83.50 −$24.35 331
Aetna 1 Local $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.

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