Payer Overview
CDPHP INC GRP Market Analysis: Market Share and Coverage by State
CDPHP INC GRP is a regional health insurer with concentrated exposure in New York and a modest national ranking. Its scale supports focused provider contracting within its core market.
Payer Overview
CDPHP INC GRP is a nationally ranked health insurer operating as the #55 largest US A&H payer with $2.83B in US premium and a 0.2% US market share. The organization reports a footprint in 1 states, serves an estimated 476K members, and operates through 2 affiliated subsidiaries, reflecting a compact but meaningful regional operator concentrated in New York.
The payer's US premium of $2.83B represents its principal commercial and government book of business; it does not report premium in US territories or foreign markets. That concentrated geographic exposure gives CDPHP INC GRP clear negotiating leverage with provider systems in its primary state while limiting its influence with national multi-state networks.
2 rows
| Subsidiary | Domicile |
|---|---|
| Capital District Physicians Hlthpln | NY |
| Cdphp Universal Benefits Inc | NY |
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| NY | 3.44% | $2.83B | 476K |
| National Total | — | $2.83B | 476K |
CDPHP INC GRP is highly concentrated in New York, where it writes $2.83B in premium and covers 476K members. This single-state concentration means the payer's market influence is intense within New York but limited nationally, so provider networks negotiating in New York should treat CDPHP INC GRP as a significant local counterparty.
Nationally, the payer's presence does not span multiple states, which reduces complexity for multi-state provider groups but also limits opportunities for regional scale agreements. Systems operating only in New York will find the most strategic value in contracting with this payer.
Estimated Member Demographics
| Age Band | New York | National Total |
|---|---|---|
| Under 6 | 27,968 | 27,968 |
| 6–18 | 68,585 | 68,585 |
| 19–25 | 44,908 | 44,908 |
| 26–34 | 63,183 | 63,183 |
| 35–44 | 66,218 | 66,218 |
| 45–54 | 64,841 | 64,841 |
| 55–64 | 70,126 | 70,126 |
| 65–74 | 41,044 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.