National Practice Advocacy Group
Client outcomes
Every engagement is scored against the Medicare Physician Fee Schedule and ranked by renegotiation opportunity. We show the state and the scoring outcomes — never the practice name. NPAG has worked with practices of every specialty and size, from solo providers to multi-site groups, in all 50 states.
August 2026 · 5 contracts scored
Commercial reimbursement is severely undervalued against both Medicare and a peer laboratory staffed by the same pathologists. The largest Blues contract pays 88342 at $44.64 — only 44.0% of the $101.40 Medicare rate, and a $136.16 per-stain deficit (-75.3%) versus the peer benchmark.
August 2026 · 3 contracts scored
Payer rate-transparency data for the practice's four highest-volume office codes shows every one of its three commercial contracts paying at or near the bottom tier of the in-state OB/GYN market. The best-paid Maryland OB/GYN groups on the same payers and the same codes earn 35%–79% more per visit for identical work.
August 2026 · 3 contracts scored
A re-review request produced a new proposal lifting E&M from 120% of 2008 Medicare to 150% — a 30-point improvement over the current schedule and 15 points above the previous offer — with all other codes held at 140% of 2008 Medicare.
August 2026 · 2 contracts scored
Both aging commercial agreements were re-benchmarked and re-priced: a 14% increase on a 10-year-old national payer contract and a 10% increase on a 5-year-old Blues contract.
August 2026 · 1 contracts scored
A single-payer regional review produced increases of 82%–134% across the practice's three highest-value codes.
June 2026 · 3 contracts scored
All three commercial contracts conceal their fee schedules, allow the payer to change rates on 30 days' notice without provider consent, and contain no annual escalator. The oldest agreement has been auto-renewing since 2009. On the practice's four highest-volume therapy codes, one national payer pays 39%–50% below the local physical therapy market average.
August 2026 · 3 contracts scored
Three commercial ASC agreements were renegotiated with facility-fee increases ranging from 3% to 30% across the highest-volume procedure codes, with the strongest lifts on cataract, knee arthroscopy, and colonoscopy services.
August 2026 · 3 contracts scored
Three commercial ophthalmology contracts were renegotiated with increases ranging from 5% to 28%, spanning office visits, cataract surgery, intravitreal injections, and OCT retina imaging.
August 2026 · 3 contracts scored
Three commercial GI contracts were renegotiated with increases ranging from 3% to 30%, concentrated on endoscopy with biopsy, colonoscopy with polypectomy, and motility/capsule studies.
August 2026 · 4 contracts scored
Four commercial cardiology agreements were renegotiated with EKG, echocardiogram, stress testing, and catheterization codes improving 12%–35% against comparable New York cardiology groups.
August 2026 · 5 contracts scored
Five orthopedic payer agreements were renegotiated with arthroscopy, joint replacement, and injection codes improving 10%–28% against comparable Colorado orthopedic groups.
August 2026 · 4 contracts scored
Four commercial radiology agreements were renegotiated with MRI, CT, ultrasound, and X-ray codes improving 8%–25% against comparable Illinois radiology groups.
August 2026 · 3 contracts scored
Three dermatology payer agreements were renegotiated with biopsy, excision, destruction, and office-visit codes improving 6%–22% against comparable Georgia dermatology groups.
August 2026 · 4 contracts scored
Four commercial ENT agreements were renegotiated with sinus surgery, tonsillectomy, hearing testing, and office-visit codes improving 9%–30% against comparable Pacific Northwest ENT groups.
August 2026 · 4 contracts scored
Four commercial urology agreements were renegotiated with cystoscopy, urodynamics, prostate procedures, and office-visit codes improving 7%–26% against comparable Michigan urology groups.
Gated resource · PDF
Benchmark ranges, the five renegotiation levers, exposure by contract signal, a worked upside model, and your next steps. Tell us where to send it and the download unlocks immediately.
Medical practices: book a commercial rate review and we'll score every payer contract against Medicare.