RateScore · NPI 1730347659

Ashley Lauren Forystek

Wilmington, NC

696
/ 850  ·  300-850 vs the LOCAL peer median; target = local P90  ·  Local · metro
Strong position
72.0% local percentile  ·  high peer-sample confidence
Scored as of August 19, 2026
260published rate records
2payers scored
49scoreable contract cells
156sanitized records
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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 Wilmington, 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
Centene 10 Local $274.04 $237.00 +$37.04 682
Bcbs Nc 39 Local $23.22 $19.24 +$3.98 699

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 G0402 Local $187.22 $206.94 $312.86 $125.64 107
Centene 95810 Local $947.21 $947.21 $1,034.28 $87.07 424
Centene 97597 Local $95.92 $95.92 $172.66 $76.74 745
Centene 45380 Local $338.86 $338.86 $410.82 $71.96 876
Bcbs Nc 99214 Local $158.64 $147.84 $219.03 $60.39 1077
Bcbs Nc 99213 Local $103.83 $103.83 $162.07 $58.24 977
Bcbs Nc 81271 Local $137.00 $137.00 $185.91 $48.91 31
Bcbs Nc G0008 Local $10.95 $23.88 $56.82 $45.87 235
Bcbs Nc G0009 Local $10.95 $34.04 $55.90 $44.95 124
Bcbs Nc G0439 Local $222.20 $221.34 $248.82 $26.62 268

What insurers pay nationally for these codes: 95810 · 45380 · 99214 · 99213

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