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 New York?

The average First Pass Clean Claim Rate in New York is 97.16% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in New York?

The average Denial Rate in New York is 4.92% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $93.57 for physical therapy, occupational therapy and speech language therapy practices.

Real-Time Healthcare Payer Benchmarks in New York

Accepting healthcare payers in New York 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 New York

Real-Time Physical Therapy Practice Benchmarks in New York

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 4 hours ago

98.50%

Latest

97.16%

Average

99.80%

Max

87.40%

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 4 hours ago

0.50%

Latest

4.92%

Average

10.50%

Max

0.50%

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 4 hours ago

$93.57

Latest

$67.13

Expected

$93.57

High

$116.25

Mean

$88.89

Low

$67.13

Median

$88.44

Top Healthcare Payers in New York

Medicare of New York (Queens): $163.56
paid in 16 days
Medicare of New York: $142.08
paid in 16 days
Medicare of New York (Upstate): $127.72
paid in 18 days
United Health Care: $105.55
paid in 23 days
Univera: $100.80
paid in 13 days
Empire Plan (NYSHIP): $93.50
paid in 128 days
1199 SEIU Benefit and Pension Funds: $85.07
paid in 23 days
Independent Health: $80.62
paid in 22 days
NY State Insurance Fund: $76.32
paid in 68 days
BCBS New York: $69.47
paid in 24 days
Fidelis Care: $64.20
paid in 25 days
Aetna: $63.10
paid in 24 days
BCBS of Western NY (Highmark): $48.40
paid in 11 days

New York Medicare Fee Calculator

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

Real-Time Healthcare Payer Benchmarks in New York

Healthcare Payer Benchmarks for Physical Therapy Practices in New York

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 4 hours ago

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 4 hours ago

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 4 hours ago

Top Healthcare Payers in New York

Medicare of New York (Queens)

Medicare of New York

Medicare of New York (Upstate)

United Health Care

Univera

Empire Plan (NYSHIP)

1199 SEIU Benefit and Pension Funds

Independent Health

NY State Insurance Fund

BCBS New York

Fidelis Care

Aetna

BCBS of Western NY (Highmark)

Related:

Frequently Asked Questions

Speak to an Expert

Healthcare Payer Benchmarks by State