PMI

Understand payer rates.
Start with your state.

Explore state-by-state reports examining rates from major insurance companies, along with the state-specific video reviewing the report to guide you towards a better understanding of your state's rates.

Complimentary Reports To Support Independent Pediatric Practices Across The US

Available Statewide Reports

Explore the posted state reports and their accompanying videos. All reports cover 2026-Q3 and are free to access without registration.

StateData PeriodAccess
Texas2026-Q3View Report & Walkthrough Video
Beyond the statewide view

How do your practice’s rates compare in your market?

The state report provides a starting point. A custom practice report focuses on your practice’s payer rates and how they compare with others in your market.

Learn more about a practice-specific comparison to help you:

  • Understand how your rates compare for the services your practice provides.
  • Explore differences by payer and billing code, where comparable data is available.
  • Identify areas that warrant closer review in your payer contracts.

What your custom report includes

Your practice-specific report will provide details on 92 CPT codes for Place of Service 11, focusing exclusively on general pediatrics.

View the 92 CPT codes included
CPT CodeCPT Description
Ancillary
99188App topical fluoride varnish
Behavioral
96110Developmental screen w/score
96127Brief emotional/behav assmt
Counseling
90837Psytx w pt 60 minutes
90847Family psytx w/pt 50 min
90849Multiple family group psytx
90853Group psychotherapy
Hospital
99238Hosp ip/obs dschrg mgmt 30/<
99460Init nb em per day hosp
99461Init nb em per day non-fac
99463Same day nb discharge
Laboratory
87428Sarscov & inf vir a&b ag ia
87502Influenza dna amp probe
87631Resp virus 3-5 targets
87633Resp virus 12-25 targets
87634Rsv dna/rna amp probe
87636Sarscov2 & inf a&b amp prb
87637Sarscov2&inf a&b&rsv amp prb
87651Strep a dna amp probe
87804Influenza assay w/optic
87807Rsv assay w/optic
87880Strep a assay w/optic
Screening
99174Ocular instrumnt screen bil
99177Ocular instrumnt screen bil
Screens
96160Pt-focused hlth risk assmt
96161Caregiver health risk assmt
Telehealth
98000Synch audio-video new sf 15
98001Synch audio-video new low 30
98002Synch audio-video new mod 45
98003Synch audio-video new hi 60
98004Synch audio-video est sf 10
98005Synch audio-video est low 20
98006Synch audio-video est mod 30
98007Synch audio-video est hi 40
98008Synch audio-only new sf 15
98009Synch audio-only new low 30
98013Synch audio-only est low 20
98014Synch audio-only est mod 30
Testing
99173Visual acuity screen
Unassigned
98010Synch audio-only new mod 45
98011Synch audio-only new high 60
98012Synch audio-only est sf 10
98015Synch audio-only est high 40
98016Brief comunicaj tech-bsd svc
99078Group health education
99418Prolng ip/obs e/m ea 15 min
99484Care mgmt svc bhvl hlth cond
Vaccine, Admin
90460Im admin 1st/only component
90461Im admin each addl component
90471Immunization admin
90472Immunization admin each add
Vaccine, Drug
90380Rsv monoc antb seasn .5ml im
90619Menacwy-tt vaccine im
90620Menb-4c vaccine im
90621Menb-fhbp vacc 2/3 dose im
90623Menacwy-tt menb-fhbp vacc im
90633Hepa vacc ped/adol 2 dose im
90648Hib prp-t vaccine 4 dose im
906519vhpv vaccine 2/3 dose im
90671Pcv15 vaccine im
90677Pcv20 vaccine im
90680Rv5 vacc 3 dose live oral
90681Rv1 vacc 2 dose live oral
90696Dtap-ipv vaccine 4-6 yrs im
90697Dtap-ipv-hib-hepb vaccine im
90698Dtap-ipv/hib vaccine im
90700Dtap vaccine < 7 yrs im
90707Mmr vaccine sc
90710Mmrv vaccine sc
90713Poliovirus ipv sc/im
90715Tdap vaccine 7 yrs/> im
90716Var vaccine live subq
90723Dtap-hep b-ipv vaccine im
90744Hepb vacc 3 dose ped/adol im
Visit, Est
99212Office o/p est sf 10 min
99213Office o/p est low 20 min
99214Office o/p est mod 30 min
99215Office o/p est hi 40 min
Visit, New
99202Office o/p new sf 15 min
99203Office o/p new low 30 min
99204Office o/p new mod 45 min
99205Office o/p new hi 60 min
Visit, Prev, Est
99391Per pm reeval est pat infant
99392Prev visit est age 1-4
99393Prev visit est age 5-11
99394Prev visit est age 12-17
99395Prev visit est age 18-39
Visit, Prev, New
99381Init pm e/m new pat infant
99382Init pm e/m new pat 1-4 yrs
99383Prev visit new age 5-11
99384Prev visit new age 12-17
99385Prev visit new age 18-39

CPT® codes and descriptors are copyright American Medical Association. All rights reserved.

Watch the custom report video in a new tab →

Comparable data, market coverage, and interpretation matter. Leverage the information now available from PMI to better understand how your practice stacks up in your market.

Preview a sample practice report

Review a sample practice-specific report before you order.

Download Sample Practice Report

Custom practice report: $850

Order Your Custom Report Today

Get your practice’s data ready for your custom report

To prepare your custom report, we need an export of your practice’s billing activity for the past 12 months. The report should summarize the total number of units billed for each CPT code, broken down by payer.

Your export should include:

  • CPT code
  • Payer
  • Total units billed for each CPT code and payer combination during the past 12 months

If you’re not sure how to run this report, see the PDF export instructions for the common billing systems listed below.

  1. Run the billing activity report. Select the past 12 months and summarize units billed by CPT code and payer.
  2. Use the instructions if needed. Find your billing system below for guidance on preparing the export.
  3. Arrange secure delivery. Confirm the approved submission method with PMI before sending your file. We need the summarized billing activity, not patient-level records.
Your systemPDF export instructions
AthenaComing Soon
eClinicalWorksComing Soon
Office PracticumComing Soon
PCCComing Soon

Don’t see your system or need help? Contact PMI to confirm the appropriate export process before preparing your file.

Protect practice and patient information: Never send patient-identifiable information by email. Confirm the necessary data and secure delivery process with PMI first.

Take the next step

  1. 1

    Place your order

    Order your practice-specific report for $850.

  2. 2

    Receive your receipt and upload your data

    You’ll receive an order receipt by email, along with a link to securely upload your billing data.

  3. 3

    Receive your report and video

    Within 3 business days, you’ll receive your practice-specific report along with a video walking you through the report.