Kelly W Stephenson
ortho · Houston-Pasadena-The Woodlands, TX
UnitedHealthcare is the worst-paying contract we can score for Kelly W Stephenson — 52.4% 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.
Position by payer
Your median contracted rate vs the local peer median, per payer, for every payer we can score in Houston-Pasadena-The Woodlands, TX. 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 |
|---|---|---|---|---|---|
| UnitedHealthcare | 2 | $970.49 | $972.80 | −$2.31 | 562 |
| Cigna | 9 | $99.04 | $99.04 | $0.00 | 579 |
| Aetna | 1 | $91.81 | $64.73 | +$27.08 | 732 |
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 |
|---|---|---|---|---|---|---|
| Cigna | 27447 | $1,803.02 | $1,803.02 | $2,542.03 | $739.01 | 30 |
| UnitedHealthcare | 27447 | $1,857.04 | $1,861.28 | $2,339.67 | $482.63 | 46 |
| Cigna | 73502 | $31.44 | $47.23 | $141.34 | $109.90 | 113 |
| Cigna | 73564 | $30.12 | $48.52 | $138.80 | $108.68 | 58 |
| Cigna | 99223 | $264.60 | $264.60 | $362.43 | $97.83 | 594 |
| Cigna | 99204 | $169.40 | $169.40 | $265.55 | $96.15 | 861 |
| Cigna | 99203 | $99.04 | $99.04 | $173.82 | $74.78 | 547 |
| Cigna | 20610 | $81.76 | $74.34 | $115.14 | $33.38 | 102 |
| Cigna | 99214 | $141.83 | $139.27 | $172.35 | $30.52 | 1601 |
| UnitedHealthcare | 20610 | $83.94 | $84.32 | $105.75 | $21.81 | 203 |
What insurers pay nationally for these codes: 27447 · 99204 · 99203 · 20610 · 99214
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