Groups, MSOs and multi-NPI roll-ups
Your group is not one contract.It is one per provider, per payer, and they do not match.
Two physicians in the same building, on the same payer, billing the same code, are routinely paid different amounts. Your practice management system cannot show you that, because it records what you were paid and not what you agreed. The rates are public. This is the map of them, across every NPI you own.
Multi-NPI books are scoped on a call. There is no price on this page and nothing here is gated.
The thing a roll-up cannot see. Variance you inherited, in contracts you did not sign.
Every acquisition brings its own fee schedule. The practice you bought in 2019 is on terms negotiated by someone who has left, with a payer who has since renamed the plan. Multiply that by every provider and every payer and the question stops being answerable by hand.
What your billing system knows
What was paid, after adjudication, per claim. It is a record of outcomes.
What it does not know
What you agreed to be paid, per provider, per payer, per code, and how that compares to the practice down the road on the same contract.
Where the answer already is
In the machine readable files every insurer is required to publish. Your rates are in there today, and so are your peers'.
One map. Every provider, every payer, in one place.
Portfolio rate map
Every NPI in the group, every payer that publishes a rate for it, at the code level. One table rather than one spreadsheet per acquisition.
RateScore per provider
A 300 to 850 score for each NPI against the local peer median and against that provider's own payers. Never a national average.
Where the group is thin
The providers and payer combinations sitting furthest below the local peer median, ranked, so a renegotiation calendar writes itself.
Evidence you can hand a payer
The published band for the code, the provider's position in it, and the source filing reference. Documented reimbursement opportunity, modeled and not guaranteed.
The working tools live in the app at app.reddenda.com. This page is the entrance, not the product.
The index behind it. What the corpus is indexed toward.
314M+
contracted rate records
500+
payers
50
states
9.2M+
provider NPIs
Read that as scope, not as a live query. It is the universe this platform indexes toward. What is live and queryable for your group on the day you ask is a smaller number, it moves as payers publish, and we will tell you what it is for your NPIs rather than quoting this figure back at you.
How a group engagement runs. Three steps, and the first one is free.
1 · Send the roster
A list of NPIs. Nothing else, and no PHI. We tell you what coverage exists for those providers before anyone talks about scope.
2 · The working session
Thirty minutes on your own codes and payers. Which providers sit below the local peer median, on which contracts, and by how much.
3 · Scope the work
Multi-location and multi-NPI books are scoped on that call and are never priced inline, because no two roll-ups have the same payer mix.
What this is not. Stated here rather than discovered later.
Not a guarantee
Every figure is a documented reimbursement opportunity. Actual recovery depends on payer response, contract terms, documentation and the negotiation itself.
Not complete coverage
Coverage is uneven by payer and by period, because it follows what each insurer actually published. Where we hold nothing for a provider, the answer is that we hold nothing.
Not a claims product
No PHI is required and none is used. The only identifier is the NPI, which is a public federal identifier issued to a provider.
Not Medicare
Medicare and Medicaid rates are set, not negotiated. This work is commercial contracts only.
Bring your roster. Leave knowing which providers are underpaid, and on which contracts.
A thirty minute working session on your own NPIs and payers. No slides, no deck, and no price quoted before anyone has seen your book.
Prefer to start with one provider? Score a single NPI first and see the shape of the output.