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 97.01% 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 9.28% 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 $88.27 for physical therapy, occupational therapy and speech language therapy practices.

What is American Specialty Health's average Reimbursement per Visit in Virginia?

The expected Reimbursement Per Visit in Virginia is $73.90 for physical therapy, occupational therapy and speech language therapy practices.

American Specialty Health Reimbursement Rates in Virginia

Accepting American Specialty Health in Virginia shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

American Specialty Health Reimbursement Rates for Physical Therapy Practices in Virginia

Physical Therapy Practice Benchmarks in Virginia

Average Reimbursement Per Visit

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

$73.90

Latest

$81.86

Expected

$73.90

High

$89.48

Mean

$79.80

Low

$70.71

Median

$79.87

Recent Visit CPT Code Combinations

Data refreshed 16 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97535 x 1 (Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 2 (Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 4 (Assistant) Units 4 units @ $16.25 average per unit Reimbursement $65.00 total reimbursement	4	$65.00	$16.25
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $20.00 average per unit Reimbursement $79.99 total reimbursement	4	$79.99	$20.00
97032 x 1 (No Assistant), 97110 x 3 (No Assistant) Units 4 units @ $16.25 average per unit Reimbursement $65.00 total reimbursement	4	$65.00	$16.25
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 4 (No Assistant) Units 4 units @ $16.25 average per unit Reimbursement $65.00 total reimbursement	4	$65.00	$16.25
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $20.00 average per unit Reimbursement $80.00 total reimbursement	4	$80.00	$20.00
97110 x 3 (No Assistant) Units 3 units @ $21.67 average per unit Reimbursement $65.00 total reimbursement	3	$65.00	$21.67
97032 x 1 (Assistant), 97110 x 3 (Assistant) Units 4 units @ $16.25 average per unit Reimbursement $65.00 total reimbursement	4	$65.00	$16.25

Top Healthcare Payers in Virginia

BCBS of West Virginia: $158.55
paid in 34 days
Aetna Better Health of Virginia: $127.72
paid in 10 days
UHC: $98.25
paid in 39 days
* BCBS of Virginia: $94.02
paid in 11 days
Medicare of West Virginia: $91.53
paid in 20 days
Medicare of Virginia: $90.01
paid in 14 days
VA Community Care: $89.91
paid in 7 days
Aetna: $80.42
paid in 12 days
Tricare East: $79.59
paid in 24 days
Align Networks (One Call PT): $75.00
paid in 53 days
MedRisk: $74.50
paid in 30 days
American Specialty Health: $73.90
paid in 46 days
Sentara: $70.98
paid in 37 days
Carefirst BCBC - VA, DC, MD: $68.87
paid in 10 days
Anthem BCBS Wisconsin: $66.87
paid in 9 days
Humana: $65.01
paid in 11 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

American Specialty Health Reimbursement Rates in Virginia

American Specialty Health Reimbursement Rates for Physical Therapy Practices in Virginia

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 16 hours ago

Top Healthcare Payers in Virginia

BCBS of West Virginia

Aetna Better Health of Virginia

UHC

* BCBS of Virginia

Medicare of West Virginia

Medicare of Virginia

VA Community Care

Aetna

Tricare East

Align Networks (One Call PT)

MedRisk

American Specialty Health

Sentara

Carefirst BCBC - VA, DC, MD

Anthem BCBS Wisconsin

Humana

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Billing Evaluation

Frequently Asked Questions

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