RateScore · NPI 1730283250

Laurence V Hicks

Twin Falls, ID

575
/ 850  ·  300-850 vs a MIXED basis: 29 of 31 scored codes on a local peer median, the remainder national  ·  Statewide
Weak: meaningfully below peers
50.0% peer percentile  ·  high peer-sample confidence
Scored as of August 19, 2026
120published rate records
2payers scored
31scoreable contract cells
48sanitized records

Bcbs Id is the worst-paying contract we can score for Laurence V Hicks. 56.9% of peers, paid by the same payer for the same codes, 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 peer median, per payer, for every payer we can score in Twin Falls, ID. 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 medianPeer medianGapRateScore
Bcbs Id 4 Mixed $153.11 $185.00 −$31.89 537
Regence Id 27 Local $194.52 $194.52 $0.00 575

Documented reimbursement opportunity

The largest per-encounter gaps to the P90 target, code by code. Modeled from published rates, not guaranteed, per encounter, not annualized.

PayerCPTBasisYour ratePeer medianP90 targetPer-encounter gapPeers
Bcbs Id 99214 National $158.03 $190.95 $32.92 239
Bcbs Id 99213 National $148.19 $179.05 $30.86 234
Bcbs Id 92547 Local $16.21 $12.97 $19.78 $3.57 8

What insurers pay nationally for these codes: 99214 · 99213

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