RateScore · NPI 1730221037

Kevin Raymond Stein

derm · Winston-Salem, NC

549
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Weak: meaningfully below local peers
45.2% local percentile  ·  high peer-sample confidence
Scored as of August 19, 2026
339published rate records
2payers scored
25scoreable contract cells
164sanitized records

Bcbs Nc is the worst-paying contract we can score for Kevin Raymond Stein. 56.6% 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.

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Position by payer

Your median contracted rate vs the local peer median, per payer, for every payer we can score in Winston-Salem, NC. 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.

PayerCodesBasisYour medianLocal peer medianGapRateScore
Bcbs Nc 24 Local $93.76 $106.36 −$12.60 539
Centene 1 Local $59.00 $39.23 +$19.77 787

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.

PayerCPTBasisYour rateLocal peer medianLocal P90Per-encounter gapPeers
Bcbs Nc 81554 Local $5,409.60 $5,409.60 $6,545.62 $1,136.02 25
Bcbs Nc 11602 Local $158.13 $211.08 $498.38 $340.25 21
Bcbs Nc 11102 Local $35.04 $113.78 $243.69 $208.65 52
Bcbs Nc 12032 Local $389.70 $277.47 $596.51 $206.81 27
Bcbs Nc 96573 Local $235.92 $288.12 $430.28 $194.36 29
Bcbs Nc 17262 Local $170.97 $170.97 $354.78 $183.81 17
Bcbs Nc 99203 Local $118.19 $144.80 $239.90 $121.71 308
Bcbs Nc Q5130 Local $134.43 $134.43 $247.86 $113.43 30
Bcbs Nc 11103 Local $20.56 $61.42 $131.53 $110.97 42
Bcbs Nc 96405 Local $99.06 $99.06 $209.76 $110.70 25

What insurers pay nationally for these codes: 99203

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