Payorscope
Get a view of reimbursement rates by CPT billing code and payors across geographies and all the way down to individual healthcare providers
How It Works
Choose your target area—whether it's a specific geographic region, healthcare specialty, or acquisition prospect—PayorScope allows for flexible inputs like NPIs, TINs, and CPT codes to tailor your analysis to your business needs.
Using advanced algorithms, PayorScope extracts and processes machine-readable files (MRFs), transforming complex payor data into clear, structured insights. This gives you visibility into reimbursement rates, CPT codes, and provider details, eliminating manual effort.
Our platform cross-references this data with proprietary sources to validate provider credentials, TINs, and geographical coverage. This ensures you receive a 360-degree view of reimbursement dynamics and provider networks, empowering you to make more informed decisions with confidence.
Once the data is processed, PayorScope delivers customized reports tailored to your specific goals, providing comprehensive, actionable insights within days. Whether you're benchmarking reimbursement rates, conducting M&A due diligence, or assessing pricing strategies, PayorScope offers detailed exports through an interactive dashboard, allowing you to act faster than traditional solutions.
Steer Strategically
From validating deals to benchmarking trends and expanding markets, leverage real-time reimbursement data to optimize contract negotiations and unlock new opportunities.
M&A Due Diligence
Validate deal terms and pinpoint renegotiation opportunities with precise data on reimbursement rates.
Strategic Benchmarking
Gain competitive insights into local reimbursement trends and identify rate negotiation opportunities.
Market Expansion
Uncover high-potential regions and specialties for growth by analyzing local reimbursement rates and provider density.
Contract Negotiations
Equip yourself with up-to-date, payor-specific data to drive stronger negotiations and optimize financial outcomes.
See Detailed Rates by Providers and NPI
PayorScope can provide detailed reimbursement rates down to the provider and NPI level for each CPT billing code and payor.
Get Distributions of Billing Code Rates Across Geographies
PayorScope can provide a comprehensive view of the distribution of rates across different geographies, payors, and CPT billing codes.
Benefits
Accelerated Insights
Access actionable data within days—outpacing traditional solutions that take weeks
Cost Savings
Tap into our extensive datasets and advanced tools, removing the need for expensive in-house data solutions
Complete Pricing Transparency
Gain a 360-degree view of payor pricing structures to better understand market dynamics and negotiate more effectively
Strategic Decision-Making
Leverage detailed benchmarks to uncover opportunities, assess markets, and make more informed M&A decisions
Enhanced Due Diligence
Confidently validate acquisition targets by analyzing fee schedules, provider credentials, and reimbursement structures
Tailored Solutions and Adaptability
PayorScope offers customizable data outputs and reports that can be adapted to fit unique organizational needs