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 92.61% 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 13.87% 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 $89.92 for physical therapy, occupational therapy and speech language therapy practices.

What is Medicare of New York (Queens)'s average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $98.07 for physical therapy, occupational therapy and speech language therapy practices.

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Medicare of New York (Queens) Reimbursement Rates

Accepting Medicare of New York (Queens) shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Medicare of New York (Queens) Reimbursement Rates for Physical Therapy Practices in New York

Physical Therapy Practice Benchmarks in New York

Average Reimbursement Per Visit

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

$98.07

Latest

$122.00

Expected

$98.07

High

$140.04

Mean

$119.27

Low

$98.07

Median

$119.05

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $29.45 average per unit Reimbursement $117.80 total reimbursement	4	$117.80	$29.45
97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 3 units @ $31.38 average per unit Reimbursement $94.14 total reimbursement	3	$94.14	$31.38
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97164 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $38.61 average per unit Reimbursement $154.45 total reimbursement	4	$154.45	$38.61
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $30.00 average per unit Reimbursement $90.01 total reimbursement	3	$90.01	$30.00
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $31.10 average per unit Reimbursement $124.40 total reimbursement	4	$124.40	$31.10
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $26.72 average per unit Reimbursement $106.87 total reimbursement	4	$106.87	$26.72

Top Healthcare Payers in New York

Aetna (Zaya): $146.01
paid in 137 days
1199 SEIU: $143.54
paid in 54 days
Medicare of New York: $115.70
paid in 20 days
Fidelis Care: $109.50
paid in 26 days
Medicare of New York (Queens): $98.07
paid in 14 days
Geico: $97.84
paid in 62 days
Univera: $96.28
paid in 50 days
Managed Physical Network: $85.33
paid in 78 days
BCBS of Western NY (Highmark): $79.37
paid in 18 days
BCBS New York: $77.41
paid in 90 days
Healthfirst of NY: $76.78
paid in 9 days
UHC: $75.68
paid in 17 days
Empire Plan NYSHIP: $75.39
paid in 15 days
Medicare of New York (Upstate): $72.41
paid in 10 days
American Specialty Health: $68.00
paid in 25 days
United Health Care (Oxford): $67.50
paid in 28 days
Emblem Health: $63.46
paid in 19 days
Independent Health: $58.76
paid in 22 days
Aetna: $52.48
paid in 7 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

Medicare of New York (Queens) Reimbursement Rates

Medicare of New York (Queens) Reimbursement Rates for Physical Therapy Practices in New York

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Top Healthcare Payers in New York

Aetna (Zaya)

1199 SEIU

Medicare of New York

Fidelis Care

Medicare of New York (Queens)

Geico

Univera

Managed Physical Network

BCBS of Western NY (Highmark)

BCBS New York

Healthfirst of NY

UHC

Empire Plan NYSHIP

Medicare of New York (Upstate)

American Specialty Health

United Health Care (Oxford)

Emblem Health

Independent Health

Aetna

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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