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 Illinois?

The average First Pass Clean Claim Rate in Illinois is 79.16% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Illinois?

The average Denial Rate in Illinois is 13.12% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Illinois?

The expected Reimbursement Per Visit in Illinois is $119.39 for physical therapy, occupational therapy and speech language therapy practices.

What is Medicare of Illinois's average Reimbursement per Visit in Illinois?

The expected Reimbursement Per Visit in Illinois is $119.39 for physical therapy, occupational therapy and speech language therapy practices.

Real-Time Healthcare Payer Benchmarks for Medicare of Illinois in Illinois

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

Medicare of Illinois Benchmarks for Physical Therapy Practices in Illinois

Real-Time Physical Therapy Practice Benchmarks in Illinois

Average Reimbursement Per Visit

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

$119.39

Latest

$118.89

Expected

$119.39

High

$346.54

Mean

$151.13

Low

$99.31

Median

$128.49

Recent Visit CPT Code Combinations

Data refreshed 6 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant) Units 4 units @ $27.30 average per unit Reimbursement $109.21 total reimbursement	4	$109.21	$27.30
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 2 (No Assistant) Units 4 units @ $26.20 average per unit Reimbursement $104.80 total reimbursement	4	$104.80	$26.20
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $28.63 average per unit Reimbursement $85.89 total reimbursement	3	$85.89	$28.63
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97535 x 1 (Assistant) Units 4 units @ $21.89 average per unit Reimbursement $87.56 total reimbursement	4	$87.56	$21.89
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $21.81 average per unit Reimbursement $87.23 total reimbursement	4	$87.23	$21.81
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant) Units 4 units @ $22.87 average per unit Reimbursement $91.48 total reimbursement	4	$91.48	$22.87
97110 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant) Units 3 units @ $28.67 average per unit Reimbursement $86.02 total reimbursement	3	$86.02	$28.67
97110 x 2 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant) Units 4 units @ $23.53 average per unit Reimbursement $94.13 total reimbursement	4	$94.13	$23.53
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $23.96 average per unit Reimbursement $95.84 total reimbursement	4	$95.84	$23.96
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $27.24 average per unit Reimbursement $108.95 total reimbursement	4	$108.95	$27.24
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $26.58 average per unit Reimbursement $106.32 total reimbursement	4	$106.32	$26.58
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant) Units 4 units @ $22.48 average per unit Reimbursement $89.90 total reimbursement	4	$89.90	$22.48
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97535 x 1 (Assistant) Units 4 units @ $23.06 average per unit Reimbursement $92.26 total reimbursement	4	$92.26	$23.06
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $24.13 average per unit Reimbursement $96.52 total reimbursement	4	$96.52	$24.13
97110 x 2 (Assistant), 97112 x 2 (Assistant) Units 4 units @ $22.89 average per unit Reimbursement $91.54 total reimbursement	4	$91.54	$22.89
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $28.48 average per unit Reimbursement $113.93 total reimbursement	4	$113.93	$28.48

Top Healthcare Payers in Illinois

More Illinois Healthcare Payer Benchmarks

Medicare of Illinois: $119.39
paid in 16 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.

Frequently Asked Questions

Speak to an Expert

If you’re in a rush and want to get the ball rolling, let's put something on the calendar now to talk about how StrataPT can work for you.

Schedule Now See Demo

Healthcare Payer Benchmarks by State

See how Strata can grow your practice

Speak to an Expert See Demo