Nicholas M Boulis
Atlanta-Sandy Springs-Roswell, GA
Position by payer
Your median contracted rate vs the local peer median, per payer, for every payer we can score in Atlanta-Sandy Springs-Roswell, GA. 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 | 1 | $498.84 | $468.22 | +$30.62 | 774 |
| Anthem Blue Cross Blue Shield (GA file) | 3 | $414.25 | $280.00 | +$134.25 | 792 |
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 |
|---|---|---|---|---|---|---|
| Anthem Blue Cross Blue Shield (GA file) | 99205 | $415.70 | $415.70 | $432.00 | $16.30 | 285 |
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