Anna Knox's negotiated rates run top of market for Newton across common Occupational Therapist (Pediatrics) procedures, based on Transparency in Coverage data from 1 major payer.
On balance, Anna Knox's negotiated rates trend top of market for Newton, though this varies by payer and procedure.
Across the 4 procedures benchmarked for this provider, most negotiated rates land above the local market.
Gigasheet collects negotiated rates published by every payer under the federal Transparency in Coverage rule, then normalizes and cleanses them into a single analysis-ready dataset. We enrich those rates with provider, geographic, and reimbursement data from proprietary and open source healthcare intelligence, then benchmark every rate against Medicare, peer providers, and the local market.
For Anna Knox, that covers common Occupational Therapist (Pediatrics) procedures across Aetna, BCBS, Cigna, and UnitedHealthcare. Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
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This provider's published rates, compared code by code against the market they compete in.
This provider's negotiated rates, keyed to NPI 1326452178.
For each code, negotiated rates from comparable Occupational Therapist (Pediatrics) providers in the Newton market form a distribution. Its median and percentile bands anchor the benchmark, alongside Medicare reference rates.
Each procedure is scored against its market distribution for the same code. Above, at, or below market reflects where this provider's rate sits relative to that market.
The score above is a blended view of this provider's rate position, produced by Gigasheet's proprietary methodology. It is rooted in published Transparency in Coverage data and normalized for statistical comparison. Position can vary significantly from one payer or procedure to the next. Upgrade to full access to see the evidence behind the Rate Score, including payer-level and procedure-level detail.
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Gigasheet combines every published negotiated rate with proprietary rate scoring and analytics built for healthcare. Payers, providers, and benefits teams get answers, not raw files.
Where do these rates come from?
Gigasheet processes raw payer data through proprietary cleaning, normalization, and enrichment methods to deliver best-in-class, analysis-ready rate intelligence.
Are these real contracted rates?
Yes. These are payer-published negotiated rates from Transparency in Coverage files required under federal price transparency rules. The free report includes a sample; full rate detail is available in Gigasheet.
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