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 Massachusetts?

The average First Pass Clean Claim Rate in Massachusetts is 97.05% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Massachusetts?

The average Denial Rate in Massachusetts is 7.17% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Massachusetts?

The expected Reimbursement Per Visit in Massachusetts is $99.80 for physical therapy, occupational therapy and speech language therapy practices.

What is Harvard Pilgrim's average Reimbursement per Visit in Massachusetts?

The expected Reimbursement Per Visit in Massachusetts is $77.95 for physical therapy, occupational therapy and speech language therapy practices.

Harvard Pilgrim Reimbursement Rates in Massachusetts

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

Harvard Pilgrim Reimbursement Rates for Physical Therapy Practices in Massachusetts

Physical Therapy Practice Benchmarks in Massachusetts

Average Reimbursement Per Visit

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

$77.95

Latest

$84.88

Expected

$77.95

High

$104.11

Mean

$84.72

Low

$71.45

Median

$83.27

Recent Visit CPT Code Combinations

Data refreshed 6 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $19.67 average per unit Reimbursement $78.69 total reimbursement	4	$78.69	$19.67
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $19.82 average per unit Reimbursement $79.27 total reimbursement	4	$79.27	$19.82
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $19.68 average per unit Reimbursement $78.73 total reimbursement	4	$78.73	$19.68
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 3 units @ $26.27 average per unit Reimbursement $78.80 total reimbursement	3	$78.80	$26.27
97110 x 4 (No Assistant) Units 4 units @ $21.13 average per unit Reimbursement $84.52 total reimbursement	4	$84.52	$21.13
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $19.82 average per unit Reimbursement $79.29 total reimbursement	4	$79.29	$19.82
97110 x 3 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $19.94 average per unit Reimbursement $79.78 total reimbursement	4	$79.78	$19.94
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $26.46 average per unit Reimbursement $79.39 total reimbursement	3	$79.39	$26.46
97110 x 1 (Assistant), 97110 x 1 (No Assistant), 97140 x 1 (Assistant) Units 3 units @ $26.39 average per unit Reimbursement $79.18 total reimbursement	3	$79.18	$26.39
97110 x 1 (No Assistant), 97161 x 1 (No Assistant) Units 2 units @ $62.22 average per unit Reimbursement $124.44 total reimbursement	2	$124.44	$62.22
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 4 units @ $19.88 average per unit Reimbursement $79.50 total reimbursement	4	$79.50	$19.88
97110 x 2 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $19.70 average per unit Reimbursement $78.80 total reimbursement	4	$78.80	$19.70

Top Healthcare Payers in Massachusetts

Mass General Brigham: $140.48
paid in 20 days
Amerigroup: $117.62
paid in 15 days
Tufts: $111.87
paid in 19 days
Medicare Massachusetts: $91.62
paid in 17 days
BCBS of Massachusetts: $89.53
paid in 9 days
UHC: $82.72
paid in 23 days
Aetna: $81.18
paid in 36 days
Harvard Pilgrim: $77.95
paid in 18 days
American Specialty Health: $61.05
paid in 38 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

: This data represents aggregated & anonymized data across PT, OT and SLP practices on StrataPT's EMR & RCM platforms.
: We use dashed lines to represent data that is likely to change quite often.
: The average First Pass Clean Claim Rate in Massachusetts is 97.05% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in Massachusetts is 7.17% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Massachusetts is $99.80 for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Massachusetts is $77.95 for physical therapy, occupational therapy and speech language therapy practices.

Harvard Pilgrim Reimbursement Rates in Massachusetts

Harvard Pilgrim Reimbursement Rates for Physical Therapy Practices in Massachusetts

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 6 hours ago

Top Healthcare Payers in Massachusetts

Mass General Brigham

Amerigroup

Tufts

Medicare Massachusetts

BCBS of Massachusetts

UHC

Aetna

Harvard Pilgrim

American Specialty Health

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Demo With the #1 Billing and EMR System

Built to Get You Paid

All-In-One Platform Built for Growth

AI-Powered Denial Prevention

Frequently Asked Questions

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