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 5 hours ago
97.90%
Latest
96.41%
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 5 hours ago
0.20%
Latest
3.87%
Average
8.20%
Max
0.20%
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 5 hours ago
$87.03
Latest
$138.23
Expected
$87.03
High
$138.23
Mean
$90.12
Low
$80.76
Median
$86.88

Top Healthcare Payers in California

More California Healthcare Payer Benchmarks

MedRisk

$111.71

paid in 37 days

United Health Care

$111.66

paid in 17 days

Aetna

$86.20

paid in 7 days

Anthem Blue Cross of California

$83.87

paid in 13 days

California Medicare South

$81.64

paid in 15 days

AMERICAN SPECIALTY HEALTH

$80.54

paid in 22 days

Blue Shield of California

$77.30

paid in 57 days

Align Networks (One Call PT)

$70.36

paid in 74 days

CPT copyright 2023 American Medical Association.

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.

Frequently Asked Questions

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See how Strata can grow your practice

300
$100.00
70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,399.98 additional cash each month for your practice