Alison Joan Johnson
Charlotte-Concord-Gastonia, NC-SC
UnitedHealthcare is the worst-paying contract we can score for Alison Joan Johnson — 87.5% 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 Charlotte-Concord-Gastonia, NC-SC. 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 | $70.59 | $119.30 | −$48.71 | 369 |
| Aetna | 7 | $28.01 | $33.20 | −$5.19 | 438 |
| Bcbs Nc | 35 | $17.35 | $18.05 | −$0.70 | 463 |
| Cigna | 1 | $242.09 | $242.09 | $0.00 | 575 |
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 |
|---|---|---|---|---|---|---|
| Bcbs Nc | 96413 | $237.75 | $265.67 | $502.11 | $264.36 | 219 |
| Cigna | 96413 | $242.09 | $242.09 | $442.33 | $200.24 | 15 |
| Bcbs Nc | 99205 | $238.59 | $263.84 | $427.82 | $189.23 | 822 |
| UnitedHealthcare | 20610 | $70.59 | $119.30 | $193.48 | $122.89 | 148 |
| Aetna | 99205 | $366.55 | $354.32 | $474.36 | $107.81 | 122 |
| Bcbs Nc | 99204 | $210.67 | $227.31 | $316.16 | $105.49 | 2221 |
| Bcbs Nc | J3489 | $5.42 | $7.72 | $107.76 | $102.34 | 174 |
| Bcbs Nc | 20610 | $59.94 | $108.74 | $160.45 | $100.51 | 347 |
| Bcbs Nc | 96415 | $51.12 | $59.62 | $143.08 | $91.96 | 181 |
| Bcbs Nc | 96365 | $117.74 | $114.94 | $201.17 | $83.43 | 237 |
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