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Score any NPI against its market.

Scored against the specialty peer median in its own state, from the rates insurers publish under federal law. A real provider is loaded below. Replace it with any NPI.

RateScore Exhibit loaded
Exhibit A · real NPI · public federal filings Scored 14 Sep 2026
James Dowdell, M.D. · Orthopaedic Surgery of the Spine · New York, NY · NPI 1518384957
801
A+
vs the NY Orthopaedic Surgery of the Spine peer median · statewide specialty band · target P90
Documented reimbursement opportunity
$71,700a year
Real Medicare volume · 15,736 indexed rates across 4 payers · measured to the P90 target · modeled, not guaranteed
CPT 23472 +$4,338.25 per unit vs the peer median
▲ filed rate $6,718.35 | peer median $2,380.10 P90 target locked (Core)
statewide specialty basis · n 560 · scored 14 Sep 2026 · TiC filings
Documented annual opportunity
Documented reimbursement opportunity is modeled, not guaranteed
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No PHI · an NPI is public data · opportunity is modeled, not guaranteed

No account. No card. No PHI.

Exhibit A is the one example we name. Every other provider on this page is shown de-identified: we do not name a practice its payers underpay. We name the payers.

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NPPES identity published payer rates filed for that NPI scored against the specialty peer median in its state target P90 Methodology

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LIVE FEDERAL DATA 2025-Q4 · 45 CFR 147.212
· ·
Top reimbursement gaps by code · from the peer median to the P90 target
RateScore™
659C
300850
Opportunity index (300–850) · lower score = more rate headroom to the P90 target
We target the 90th percentile (P90) of your peers, not the median. Each code is labeled with its basis (local metro, statewide, or national) so the benchmark is never presented as local when it is not. Asking at the median concedes it before the payer responds, and annual escalators then compound downward from there. So we set the target at the top of your market. Your documented negotiation target, not a guarantee.
Estimated annual opportunity
/yr
Estimated · documented reimbursement opportunity, modeled not guaranteed · top codes moved from P50 to P90
federal rate records benchmarked for this analysis
Source: Federal Transparency-in-Coverage · 45 CFR 147.212 · Published by commercial payers every 30 days · No PHI used
Built on 314M+ federal rate records reddenda.com
For billing companies · MSOs · DME distributors · specialty groups

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