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 Virginia?

The average First Pass Clean Claim Rate in Virginia is 98.60% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Virginia?

The average Denial Rate in Virginia is 4.69% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Virginia?

The expected Reimbursement Per Visit in Virginia is $80.61 for physical therapy, occupational therapy and speech language therapy practices.

Real-Time Healthcare Payer Benchmarks in Virginia

Accepting healthcare payers in Virginia 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 Virginia

Real-Time Physical Therapy Practice Benchmarks in Virginia

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 22 hours ago

99.40%

Latest

98.60%

Average

99.80%

Max

95.80%

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 22 hours ago

0.30%

Latest

4.69%

Average

10.60%

Max

0.30%

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 22 hours ago

$80.61

Latest

$79.74

Expected

$80.61

High

$90.54

Mean

$83.40

Low

$77.50

Median

$82.85

Top Healthcare Payers in Virginia

More Virginia Healthcare Payer Benchmarks

Medicare Virginia: $105.85
paid in 15 days
Optima Health: $97.99
paid in 25 days
Aetna: $95.94
paid in 19 days
AMERICAN SPECIALTY HEALTH: $87.49
paid in 35 days
VA Community Care: $83.99
paid in 7 days
Anthem BCBS of Virginia: $83.94
paid in 19 days
Molina Complete Care of Virginia: $83.83
paid in 61 days
Tricare East: $78.94
paid in 5 days
Humana: $74.98
paid in 14 days
Carefirst BCBC - VA, DC, MD: $74.92
paid in 8 days
United Health Care: $74.78
paid in 12 days
MedRisk: $65.00
paid in 26 days
Anthem BCBS Wisconsin: $60.00
paid in 9 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.

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Healthcare Payer Benchmarks by State

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Real-Time Healthcare Payer Benchmarks in Virginia

Healthcare Payer Benchmarks for Physical Therapy Practices in Virginia

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 22 hours ago

Top Healthcare Payers in Virginia

Medicare Virginia

Optima Health

Aetna

AMERICAN SPECIALTY HEALTH

VA Community Care

Anthem BCBS of Virginia

Molina Complete Care of Virginia

Tricare East

Humana

Carefirst BCBC - VA, DC, MD

United Health Care

MedRisk

Anthem BCBS Wisconsin

Related:

Frequently Asked Questions

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Healthcare Payer Benchmarks by State

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