Rakesh Marwaha
Chicago-Naperville-Elgin, IL-IN
UnitedHealthcare is the worst-paying contract we can score for Rakesh Marwaha — 84.7% 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 Chicago-Naperville-Elgin, IL-IN. 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 | 1 | $61.45 | $91.68 | −$30.23 | 384 |
| Aetna | 10 | $48.27 | $36.91 | +$11.36 | 685 |
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 |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 20610 | $61.45 | $91.68 | $176.04 | $114.59 | 427 |
| Aetna | 20610 | $95.40 | $97.86 | $125.32 | $29.92 | 251 |
| Aetna | G0180 | $80.91 | $67.77 | $105.72 | $24.81 | 187 |
| Aetna | G0447 | $40.45 | $40.45 | $51.91 | $11.46 | 23 |
| Aetna | 93000 | $26.48 | $23.88 | $33.32 | $6.84 | 457 |
| Aetna | 96372 | $22.59 | $21.72 | $28.43 | $5.84 | 250 |
| Aetna | 99497 | $116.54 | $95.92 | $120.79 | $4.25 | 248 |
| Aetna | 83036 | $12.34 | $12.34 | $15.00 | $2.66 | 99 |
| Aetna | 81002 | $4.42 | $3.57 | $5.29 | $0.87 | 148 |
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