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Medicare Reimbursement Rates in Texas

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

Medicare Reimbursement Rates for Physical Therapy Practices in Texas

Physical Therapy Practice Benchmarks in Texas

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare and a healthcare provider are confidential, we can give you a general sense for Medicare's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$95.39
Latest
$88.61
Expected
$95.39
High
$98.00
Mean
$91.39
Low
$86.63
Median
$91.55

Recent Visit CPT Code Combinations

Data refreshed 18 hours ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $23.04 average per unit
Reimbursement
$69.12 total reimbursement
3$69.12$23.04
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.90 average per unit
Reimbursement
$99.62 total reimbursement
4$99.62$24.90
97110 x 2 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $22.31 average per unit
Reimbursement
$89.23 total reimbursement
4$89.23$22.31
97110 x 1 (No Assistant), 97140 x 2 (No Assistant)
Units
3 units @ $22.70 average per unit
Reimbursement
$68.11 total reimbursement
3$68.11$22.70
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
3 units @ $45.22 average per unit
Reimbursement
$135.66 total reimbursement
3$135.66$45.22
97110 x 3 (No Assistant), 97112 x 1 (No Assistant)
Units
4 units @ $23.49 average per unit
Reimbursement
$93.96 total reimbursement
4$93.96$23.49
97530 x 4 (No Assistant)
Units
4 units @ $26.54 average per unit
Reimbursement
$106.18 total reimbursement
4$106.18$26.54
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $24.77 average per unit
Reimbursement
$99.07 total reimbursement
4$99.07$24.77
97140 x 2 (No Assistant)
Units
2 units @ $23.16 average per unit
Reimbursement
$46.33 total reimbursement
2$46.33$23.16
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $25.69 average per unit
Reimbursement
$102.75 total reimbursement
4$102.75$25.69
97140 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $24.26 average per unit
Reimbursement
$97.03 total reimbursement
4$97.03$24.26
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $22.56 average per unit
Reimbursement
$90.23 total reimbursement
4$90.23$22.56
97112 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $26.68 average per unit
Reimbursement
$106.74 total reimbursement
4$106.74$26.68
97110 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
2 units @ $57.72 average per unit
Reimbursement
$115.45 total reimbursement
2$115.45$57.72
97140 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $25.15 average per unit
Reimbursement
$100.59 total reimbursement
4$100.59$25.15
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $25.61 average per unit
Reimbursement
$102.44 total reimbursement
4$102.44$25.61
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $25.82 average per unit
Reimbursement
$77.47 total reimbursement
3$77.47$25.82
97140 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $21.98 average per unit
Reimbursement
$87.91 total reimbursement
4$87.91$21.98
97140 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $22.73 average per unit
Reimbursement
$90.93 total reimbursement
4$90.93$22.73
97140 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.40 average per unit
Reimbursement
$93.59 total reimbursement
4$93.59$23.40
97140 x 1 (No Assistant)
Units
1 units @ $26.02 average per unit
Reimbursement
$26.02 total reimbursement
1$26.02$26.02
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.50 average per unit
Reimbursement
$97.98 total reimbursement
4$97.98$24.50
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $23.35 average per unit
Reimbursement
$93.39 total reimbursement
4$93.39$23.35
97110 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
2 units @ $57.66 average per unit
Reimbursement
$115.33 total reimbursement
2$115.33$57.66
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.01 average per unit
Reimbursement
$96.04 total reimbursement
4$96.04$24.01
97110 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $21.74 average per unit
Reimbursement
$86.96 total reimbursement
4$86.96$21.74
97110 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
2 units @ $23.94 average per unit
Reimbursement
$47.87 total reimbursement
2$47.87$23.94
97162 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
2 units @ $58.92 average per unit
Reimbursement
$117.84 total reimbursement
2$117.84$58.92
97110 x 2 (No Assistant), 97112 x 2 (No Assistant)
Units
4 units @ $24.27 average per unit
Reimbursement
$97.07 total reimbursement
4$97.07$24.27
97110 x 2 (No Assistant)
Units
2 units @ $24.45 average per unit
Reimbursement
$48.89 total reimbursement
2$48.89$24.45
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $22.23 average per unit
Reimbursement
$88.94 total reimbursement
4$88.94$22.23
97112 x 2 (No Assistant), 97164 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $32.98 average per unit
Reimbursement
$164.89 total reimbursement
5$164.89$32.98
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $24.10 average per unit
Reimbursement
$72.29 total reimbursement
3$72.29$24.10
97110 x 3 (No Assistant)
Units
3 units @ $23.42 average per unit
Reimbursement
$70.25 total reimbursement
3$70.25$23.42
97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.85 average per unit
Reimbursement
$107.41 total reimbursement
4$107.41$26.85
97530 x 4 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $26.56 average per unit
Reimbursement
$132.78 total reimbursement
5$132.78$26.56
97110 x 2 (No Assistant), 97112 x 1 (No Assistant)
Units
3 units @ $24.46 average per unit
Reimbursement
$73.39 total reimbursement
3$73.39$24.46
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (Assistant)
Units
4 units @ $22.79 average per unit
Reimbursement
$91.16 total reimbursement
4$91.16$22.79

Top Healthcare Payers in Texas

Superior

$136.36

paid in 36 days
View 12 recent CPT Code Combinations

WellMed

$127.45

paid in 61 days
View 3 recent CPT Code Combinations

BCBS of Texas

$99.55

paid in 14 days
View 65 recent CPT Code Combinations

Medicare

$95.39

paid in 17 days
View 38 recent CPT Code Combinations

American Specialty Health

$74.24

paid in 41 days
View 7 recent CPT Code Combinations

UHC

$73.15

paid in 29 days
View 38 recent CPT Code Combinations

Tricare West

$68.25

paid in 8 days
View 12 recent CPT Code Combinations

Humana

$62.99

paid in 16 days
View 6 recent CPT Code Combinations

Aetna "Holista"

$57.84

paid in 17 days
View 9 recent CPT Code Combinations

CPT copyright 2025 American Medical Association.

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.

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