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 Kentucky?

The average First Pass Clean Claim Rate in Kentucky is 95.28% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Kentucky?

The average Denial Rate in Kentucky is 11.04% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Kentucky?

The expected Reimbursement Per Visit in Kentucky is $92.47 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in Kentucky

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

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Kentucky

Physical Therapy Practice Benchmarks in Kentucky

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 7 hours ago

98.90%

Latest

95.28%

Average

99.60%

Max

75.90%

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 7 hours ago

1.50%

Latest

11.04%

Average

15.90%

Max

1.50%

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 7 hours ago

$92.47

Latest

$87.15

Expected

$92.47

High

$105.06

Mean

$88.43

Low

$79.09

Median

$88.00

Top Healthcare Payers in Kentucky

Highmark Blue Cross Blue Shield West Virginia: $124.26
paid in 20 days
BCBS of Tennessee: $110.87
paid in 42 days
Aetna: $101.17
paid in 8 days
VA Community Care: $99.24
paid in 19 days
BCBS of Kentucky: $96.34
paid in 11 days
Anthem Medicare Advantage - OH: $96.17
paid in 11 days
Medicare of Tennessee: $88.62
paid in 13 days
BCBS of Ohio: $88.47
paid in 11 days
Aetna Better Health of West Virginia: $87.84
paid in 10 days
Medicare of Kentucky: $87.50
paid in 14 days
Aetna Medicare: $87.25
paid in 7 days
Humana: $86.05
paid in 11 days
WellCare: $85.77
paid in 9 days
Railroad Medicare: $85.33
paid in 24 days
American Specialty Health: $81.89
paid in 31 days
Medicare of West Virginia: $81.27
paid in 16 days
Molina Ohio Medicaid: $80.40
paid in 35 days
Medicare of Ohio: $79.49
paid in 16 days
HUMANA MEDICARE: $78.87
paid in 12 days
UMR: $74.74
paid in 41 days
Bluegrass-PACE (August2024): $72.74
paid in NaN days
Caresource Ohio: $70.01
paid in 16 days
UHC: $67.10
paid in 25 days
United Health Care Medicare Advantage: $54.76
paid in 21 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.

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

Healthcare Payer Reimbursement Rates in Kentucky

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Kentucky

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 7 hours ago

Top Healthcare Payers in Kentucky

Highmark Blue Cross Blue Shield West Virginia

BCBS of Tennessee

Aetna

VA Community Care

BCBS of Kentucky

Anthem Medicare Advantage - OH

Medicare of Tennessee

BCBS of Ohio

Aetna Better Health of West Virginia

Medicare of Kentucky

Aetna Medicare

Humana

WellCare

Railroad Medicare

American Specialty Health

Medicare of West Virginia

Molina Ohio Medicaid

Medicare of Ohio

HUMANA MEDICARE

UMR

Bluegrass-PACE (August2024)

Caresource Ohio

UHC

United Health Care Medicare Advantage

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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