Guided Care Management Negotiated Rates & Price Benchmarks (Little Elm, TX)
Guided Care Management's negotiated rates run at market for Little Elm across common Community Health Worker procedures, based on Transparency in Coverage data from 1 major payer.
Rate Score
Rate Score is Gigasheet's proprietary benchmark for how a provider's negotiated rates compare to market, adjusted for specialty-specific billing patterns. At MarketOn balance, Guided Care Management's negotiated rates trend at market for Little Elm, though this varies by payer and procedure.
Rate Score evidence
6 proceduresAcross the 6 procedures benchmarked for this provider, most negotiated rates land at the local market.
About this Community Health Worker rate data
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 Guided Care Management, that covers common Community Health Worker procedures across Aetna, BCBS, Cigna, and UnitedHealthcare. Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
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How this is calculated
This provider's published rates, compared code by code against the market they compete in.
This provider's negotiated rates, keyed to NPI 1962282954.
For each code, negotiated rates from comparable Community Health Worker providers in the Little Elm 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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About Price Transparency Data
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.
What can I do with Gigasheet?
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