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One anonymized California chiropractic practice. Real federal Transparency-in-Coverage rate data. Real peer benchmarks. The same view you would see for your own practice on the Free Snapshot, end to end.
What the practice owner sees on day one.
One scrollable dashboard. Five cards summarize the practice's position against public peer rates inside the rate index. Every value below is computed from real federal Transparency-in-Coverage filings for this specific NPI.
/api/audit-demo-data?persona=7 · federal TiC MRF · CMS PFS 2026 · NPI Registry (federal public)Top CPT codes vs the California peer-50.
The five codes with the largest gap against the California peer median. Each row pairs this practice's contracted rate with the live peer-50 percentile from the rate index. No specialty defaults. No averaging. Per code. Per payer.
| CPT | This practice gets | Peer-50 (CA) | Gap per claim | Bar |
|---|---|---|---|---|
| 98941 Spinal manipulation · 3-4 regions · Anthem CA |
$14.00 | $35.45 | -$21.45 | |
| 97140 Manual therapy · 15 min · BSCA |
$23.39 | $75.16 | -$51.77 | |
| 97110 Therapeutic exercise · BSCA |
$23.39 | $75.58 | -$52.19 | |
| 98940 Spinal manipulation · 1-2 regions · BSCA |
$25.52 | $25.30 | +$0.22 | |
| 97014 Electrical stim · BSCA |
$16.97 | $32.04 | -$15.07 |
payer_contracted_rates · CA chiropractic taxonomy · n = 34,914 distinct rates on 98941 aloneSame practice. Two payers. Very different reality.
Each payer's median rate for this practice, ranked against the CA peer-50 across covered CPTs. Hover-equivalent metadata is rendered inline: row count, CPT coverage, weighted delta against the public benchmark.
The order to attack the contracts, with receipts.
Ranked by leverage, not by gap-size alone. Each action carries its own data citation. No vague advice. No generic playbook.
Re-negotiate 98941 with Anthem Blue Cross CA. 60% below CA peer-50.
Anthem's contracted 98941 rate is $14.00. The CA chiropractic peer-50 is $35.45 across 34,914 distinct rate rows in the federal TiC index. Top-quartile peers receive $76.25. Anthem's own Schema 2.0 MRF (March 2026 filing) is the citation.
Bundle 97140 + 97110 renegotiation across BSCA. Both 69% below peer-50.
BSCA pays both codes at $23.39. CA peer-50 is $75.16 for 97140 and $75.58 for 97110. Together these two codes represent roughly 31% of billable minutes for a typical chiropractic visit.
Add modality codes 97012, 97014, 97035 to next negotiation cycle.
Each is paid 50 to 67 percent below peer-50. Per-unit dollars are small, $16 to $32 per claim. Bundling them into the same negotiation packet keeps the leverage compounding instead of bleeding incremental rounds.
Maintain BSCA relationship on 98940. You are 15% above peer-50 there.
BSCA pays 98940 at $25.52 against a peer-50 of $25.30. Do not surface BSCA on 98940 in renegotiation packets. Use it as the reference baseline when negotiating Anthem.
Generate the 2-page Counteroffer Memo for Anthem CA.
Combines actions 01 and 03. Memo cites Anthem's own Schema 2.0 MRF filing inline. $199 one-time on the Counteroffer Memo tier, or included with Practice Audit.
The memo your office manager hands the payer rep.
Two pages of formal, payer-ready language. CPT-level, contracted-rate-cited, peer-benchmarked. The negotiator on the other side is looking at it for the first time. You aren't.
RE: Commercial fee schedule re-alignment request, NPI 19••••2219, effective Q3 2026
To: Network Management, Anthem Blue Cross of California.
The contracted rate currently in effect for CPT 98941 (chiropractic manipulative treatment, 3 to 4 spinal regions) under our agreement is $14.00 per claim. This rate sits at the 5th percentile of the public California chiropractic distribution as published in Anthem's own Transparency-in-Coverage machine-readable file (filing reference: Schema 2.0, March 2026).
The California chiropractic peer-50 for CPT 98941, calculated across 34,914 distinct contracted rates in the federal TiC index, is $35.45 per claim. The peer-75 is $76.25.
Our request is a re-alignment of CPT 98941 to the California peer-50 of $35.45 per claim, effective the next contract renewal cycle. We are similarly requesting re-alignment on CPT 97140 and CPT 97110, both currently paid at $23.39 against a peer-50 of $75.16 and $75.58 respectively.
Supporting data, percentile distributions, and source filings are attached as exhibits A through C.
What is free, what is paid, what is included.
Free Snapshot stays free. Paid tiers unlock the actionable artifacts: the counteroffer memo, the strategy call, the contract renewal calendar. Founding pricing locked for life on the first 50 practices.
Free Snapshot
- Top 3 below-benchmark CPTs against local benchmarks
- Annual rate-gap range in dollars
- Worst-paying payer in your ZIP
- Percentile rank vs peer practices in the index
- Renders in your browser in about 15 seconds
Counteroffer Memo
- Single-payer counteroffer memo
- CPT-level peer-50 and peer-75 citations
- Exhibits A to C with source TiC filings
- Editable copy for your billing team
Practice Audit
- Everything in Free Snapshot
- 20 CPT codes analyzed
- Full payer performance scorecard
- 30-min strategy call with an analyst
- Payer-specific negotiation scripts
- Contract renewal prep checklist
- Founder's Promise · find-or-refund on documented opportunity
ReimburseOS Pro
- Everything in Practice Audit
- Unlimited CPT codes tracked
- Real-time rate-shift alerts
- Contract renewal calendar with 90-day automation
- Quarterly benchmark refreshes
- 2 user seats included
No PHI required. Public data only.
ReimburseOS uses the public NPI Registry, federal Transparency-in-Coverage rate filings, and the CMS Physician Fee Schedule. We are not a HIPAA-covered entity because we do not touch PHI. The Free Snapshot intake never asks for patient data. See the methodology for the full source list, refresh cadence, and aggregation rules.
See it on your NPI.
The same view you just walked through, computed against your own contracted rates. The Free Snapshot renders in your browser in about 15 seconds. No required email gate. No drip sequence. No sales call. No credit card.