Peter Lapis
New York-Newark-Jersey City, NY-NJ
Cigna is the worst-paying contract we can score for Peter Lapis — 69.8% 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 New York-Newark-Jersey City, NY-NJ. 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 |
|---|---|---|---|---|---|
| Cigna | 7 | $41.72 | $63.63 | −$21.91 | 466 |
| Horizon Nj | 56 | $95.56 | $106.57 | −$11.01 | 490 |
| Aetna | 1 | $49.84 | $65.00 | −$15.16 | 510 |
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 |
|---|---|---|---|---|---|---|
| Horizon Nj | 95810 | $661.10 | $984.30 | $1,647.70 | $986.60 | 341 |
| Horizon Nj | 64635 | $437.39 | $635.83 | $1,093.40 | $656.01 | 348 |
| Horizon Nj | 64633 | $433.76 | $659.36 | $1,002.47 | $568.71 | 385 |
| Horizon Nj | 64483 | $245.71 | $245.71 | $682.48 | $436.77 | 263 |
| Horizon Nj | 62321 | $261.01 | $330.29 | $676.40 | $415.39 | 269 |
| Horizon Nj | 62323 | $256.33 | $256.33 | $642.50 | $386.17 | 304 |
| Horizon Nj | 74177 | $307.84 | $424.04 | $685.83 | $377.99 | 479 |
| Horizon Nj | 93306 | $125.00 | $259.00 | $481.20 | $356.20 | 363 |
| Horizon Nj | 93350 | $113.80 | $222.55 | $442.01 | $328.21 | 304 |
| Horizon Nj | 73721 | $221.98 | $264.31 | $527.46 | $305.48 | 663 |
What insurers pay nationally for these codes: 95810 · 64635 · 64633 · 64483 · 62321 · 62323 · 93306 · 93350 · 73721
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