Peds Eye Coder

Qualifying APM participants use the higher factor.

Hospital-based clinics are paid facility rates, which changed substantially for 2026.

1.000 = national average. Set from your MAC's locality.

Pediatric practices bill little Medicare. If your blended commercial and Medicaid rate runs above or below Medicare, set it here — it scales every figure equally, so the ranking only changes if you leave it at 1.