HEALTHCARE PRICING INTELLIGENCE

We know what every payer pays every competitor — for every code you bill, in every ZIP you operate.

RateIQ continuously identifies reimbursement opportunities, equips providers with the evidence to recover lost revenue, and monitors future payments to prevent underpayment before it becomes a recurring problem.

Run your numbers — freeBuilt entirely from public data.
No data ask. No permission needed.
TOTAL RECOVERABLE OPPORTUNITY · ANNUAL
$3.2M – $5.8M
PROVABLEDIRECTIONALSCENARIOEvery figure carries its confidence tier and public-data citation.
97110
$902K
97140
$510K
97530
$86K
97112
PROTECT
THE ARGUMENT, IN ONE ROW

"A competing clinic receives $21.57 for the same service you receive $17.04 for, 1.2 miles away. On your annual volume, that gap is $11,760 per year at this location."

SOURCE: CMS PUF CY2023 · NPPES
REAL EXAMPLE, ANONYMIZED — COMPETITORS ARE NAMED IN-PRODUCT
30B+
rows of data in the Rate IQ data lake
9.66M
actual Medicare payments by NPI × CPT
Billions of
commercial negotiated rates, named payers
9.37M
providers indexed — every ZIP, every specialty
THE THREE-LAYER REVENUE PROBLEM

A well-funded industry recovers money after claims fail. Nobody fixes the contracts that failed them.

Denial-management vendors recover the last 90 days. RateIQ reprices the next 3 years.

LAYER 1 · CONTRACTS
Your negotiated rates are below what competitors get for identical services.

Nobody else does this at scale. RateIQ owns this layer outright — market rates, named competitors, negotiation leverage.

LAYER 2 · PAYMENT INTEGRITY
Payers pay you below your own contracted rate.

RateIQ's Underpayment Monitor compares every remittance to your contract, line by line — 15–20% contingency, no recovery, no fee.

LAYER 3 · DENIALS
Claims denied, stalled, never collected.

Served by well-funded vendors — deliberately not our fight. They recover what failed; we make sure more arrives correctly the first time.

HOW IT WORKS

We run your numbers before we ever talk.

01
The Five Numbers

A one-page teaser built entirely from public data: your NPIs confirmed, active billers, % below the state median on your top code, your largest single-code gap, and named competitors paid more in your own ZIPs. Costs you nothing. Requires nothing.

02
The Diagnostic

An audit-grade report across every location and top code: position bands, percentile ladder, hospital comparators, gap-to-ceiling totals, cost of inaction — plus dashboard access. Delivered in 2–3 weeks.

03
The Engagement

Your contract extracts convert directional findings into precise per-payer positions within 30 days. Tier targets, rebuttal library, negotiation support — first major payer outcome inside 6 months, then continuous monitoring.

COMMITTED TIMELINESExtract → actionable positions: 30 daysFirst major payer outcome: ≤ 6 monthsRealized recovery: 12–18 months
THE PLATFORM

Intelligence, converted to leverage.

01
Executive Dashboard

The CEO's single pane: total recoverable opportunity, location heat strip, payer scoreboard, live alerts.

02
Rate Explorer

Any code, any market: the full paid distribution with you pinned on it, and every named competitor above you.

03
Portfolio Gap Analysis

Location × code gap matrix, scenario modeling with capture sensitivity, EBITDA → enterprise-value translation.

04
Site-of-Service Comparator

Your rate vs the same-town hospital's negotiated rate — same payer, same code. Differentials beyond 1.5–2.5× are the argument.

05
Underpayment Monitor

Every remittance vs your contract, line by line. Worked pipeline from detection to recovered dollars.

06
Negotiation Builder

Three-tier positions per payer per code, a six-rebuttal counter-argument library, and per-location playbook tear-outs.

Every number has a source. PROVABLE / DIRECTIONAL / SCENARIO confidence badges on every metric, with a Source & Method drawer one click away.
Plain-English position bands. UNDERPAID → BELOW MEDIAN → AT MARKET → ABOVE MARKET → TOP TIER. Percentiles are the annotation, not the language.
Balanced by design. Codes where you're above market are shown with equal prominence and a protect action — the credibility anchor that makes the analysis defensible.
PROOF POINT · DELIVERED MAY 2026

A multi-location provider network. One 62-page answer.

First engagement, delivered as an audit-grade report and boardroom deck — every figure confidence-tiered and source-cited.

87%

of active billers below the state median on their top code

PROVABLE
$1.53M

provable annual floor — Medicare book repriced at the fee-schedule ceiling

PROVABLE
3.5×

hospital rate vs client rate — same town, same payer, same code

DIRECTIONAL
$27–55M

directional enterprise-value impact at industry multiples

SCENARIO
351 named competitors were paid more in the client's own ZIP codes — including one outpacing them at 8 locations. Location percentiles ranged P11 to P72 under one contract set: the variance is contractual, not operational.
270,665 SERVICES ANALYZED
70 ACTIVE BILLERS · 26 LOCATIONS
SOURCE: CMS PUF CY2023 + 24 HOSPITAL MRFS
ONE METHODOLOGY, EVERY FREESTANDING CATEGORY:PHYSICAL THERAPYOT / SLPIMAGINGASCBEHAVIORAL HEALTHURGENT CAREMSO / ROLL-UP
PRICING

Published tiers. In this market, that alone is a differentiator.

Incumbents custom-quote the enterprise and ignore the mid-market. We publish the number.

DIAGNOSTIC
Fixed fee
per engagement · scales with locations

The wedge: Board Report + 90-day dashboard access. Full benchmarking across all locations and top codes in 2–3 weeks.

PRACTICE
$299
per month · 1–4 locations

Dashboard, Rate Explorer, market alerts.

GROUP
$1,500
per month · 5–15 locations

+ Portfolio Gap, Payer Comparison, renewal calendar.

ENTERPRISE
$5–15K
per month · 50+ locations, multi-state

+ Contract Vault, Negotiation Builder, dedicated analyst, white-label option.

Underpayment Monitor — contingency only

15–20% of recovered dollars, platform included. Deliberately under the 20–35% industry norm. No recovery, no fee.

FIRST RECOVERIES: 60–90 DAYS
CLIENT IT TIME: < 40 HOURS

Your numbers already exist in public data. We've probably already run them.

Prove it to yourself: pick your state, find your group, and your Five Numbers render live from public CMS data.

1NPI
2EMAIL
3VERIFY
4DONE
YOUR STATE
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