Where is this data coming from?

This data represents aggregated & anonymized data across PT, OT and SLP practices on StrataPT's EMR & RCM platforms.

What do the dashed lines represent?

We use dashed lines to represent data that is likely to change quite often.

What is the average First Pass Clean Claim Rate in California?

The average First Pass Clean Claim Rate in California is 96.81% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in California?

The average Denial Rate in California is 4.01% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in California?

The expected Reimbursement Per Visit in California is $86.98 for physical therapy, occupational therapy and speech language therapy practices.

Real-Time Healthcare Payer Benchmarks in California

Accepting healthcare payers in California shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Healthcare Payer Benchmarks for Physical Therapy Practices in California

Real-Time Physical Therapy Practice Benchmarks in California

First Pass Clean Claim Rate

The percentage of claims which meet standards for correct coding, modifiers, structure, and formatting on the first attempt.

Data refreshed 11 hours ago

98.10%

Latest

96.81%

Average

99.60%

Max

79.60%

Min

Denial Rate

The percentage of claims which are eventually denied by insurers, for a variety of possible reasons, including: patient policy information, exhausted benefits, authorization, limits, or provider status.

Data refreshed 11 hours ago

0.70%

Latest

4.01%

Average

8.20%

Max

0.70%

Min

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.

Data refreshed 11 hours ago

$86.98

Latest

$83.45

Expected

$86.98

High

$148.56

Mean

$90.91

Low

$80.85

Median

$86.44

Top Healthcare Payers in California

More California Healthcare Payer Benchmarks

California Medicare South: $108.00
paid in 15 days
AMERICAN SPECIALTY HEALTH: $106.04
paid in 16 days
MedRisk: $97.94
paid in 31 days
United Health Care: $93.24
paid in 16 days
Anthem Blue Cross of California: $92.97
paid in 10 days
Blue Shield of California: $77.34
paid in 9 days
Aetna: $75.91
paid in 7 days

All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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Healthcare Payer Benchmarks by State

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Real-Time Healthcare Payer Benchmarks in California

Healthcare Payer Benchmarks for Physical Therapy Practices in California

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.

Data refreshed 11 hours ago

Top Healthcare Payers in California

California Medicare South

AMERICAN SPECIALTY HEALTH

MedRisk

United Health Care

Anthem Blue Cross of California

Blue Shield of California

Aetna

Related:

Frequently Asked Questions

Speak to an Expert

Healthcare Payer Benchmarks by State

See how Strata can grow your practice