Benchmark negotiated rates for Lori Laxton across common Occupational Therapy Assistant (Environmental Modification) procedures, sourced from payer Transparency in Coverage machine-readable files.
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 Lori Laxton, that covers common Occupational Therapy Assistant (Environmental Modification) procedures across Aetna, BCBS, Cigna, and UnitedHealthcare. Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.
This provider's published rates, compared code by code against the market they compete in.
This provider's negotiated rates, keyed to NPI 1992401509.
For each code, negotiated rates from comparable Occupational Therapy Assistant (Environmental Modification) providers in the Beckley 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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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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