Real-Time Healthcare Payer Benchmarks for Medicare Virginia in Virginia

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

Medicare Virginia Benchmarks for Physical Therapy Practices in Virginia

Real-Time Physical Therapy Practice Benchmarks in Virginia

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare Virginia and a healthcare provider are confidential, we can give you a general sense for Medicare Virginia's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$104.65
Latest
$99.58
Expected
$104.65
High
$676.99
Mean
$113.28
Low
$88.17
Median
$100.87

Recent Visit CPT Code Combinations

Data refreshed 1 day ago
Codes and Units Units Total Reimbursement Average Per Unit
97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $24.89 average per unit
Reimbursement
$99.57 total reimbursement
4$99.57$24.89
97016 x 1 (Assistant), 97110 x 2 (Assistant)
Units
3 units @ $17.35 average per unit
Reimbursement
$52.06 total reimbursement
3$52.06$17.35
97032 x 1 (No Assistant), 97110 x 2 (No Assistant)
Units
3 units @ $20.36 average per unit
Reimbursement
$61.09 total reimbursement
3$61.09$20.36
97016 x 1 (No Assistant), 97110 x 4 (No Assistant)
Units
5 units @ $20.43 average per unit
Reimbursement
$102.14 total reimbursement
5$102.14$20.43
97112 x 2 (Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.30 average per unit
Reimbursement
$105.20 total reimbursement
4$105.20$26.30
97016 x 1 (No Assistant), 97110 x 3 (No Assistant)
Units
4 units @ $20.14 average per unit
Reimbursement
$80.56 total reimbursement
4$80.56$20.14
97110 x 2 (No Assistant)
Units
2 units @ $25.34 average per unit
Reimbursement
$50.68 total reimbursement
2$50.68$25.34
97016 x 1 (Assistant), 97110 x 3 (Assistant)
Units
4 units @ $17.95 average per unit
Reimbursement
$71.79 total reimbursement
4$71.79$17.95
97032 x 1 (Assistant), 97110 x 3 (Assistant)
Units
4 units @ $18.53 average per unit
Reimbursement
$74.11 total reimbursement
4$74.11$18.53
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $26.20 average per unit
Reimbursement
$131.00 total reimbursement
5$131.00$26.20
97112 x 3 (Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $25.25 average per unit
Reimbursement
$126.27 total reimbursement
5$126.27$25.25
97032 x 1 (No Assistant), 97110 x 3 (No Assistant)
Units
4 units @ $20.07 average per unit
Reimbursement
$80.27 total reimbursement
4$80.27$20.07
97016 x 1 (No Assistant), 97110 x 2 (No Assistant)
Units
3 units @ $19.77 average per unit
Reimbursement
$59.30 total reimbursement
3$59.30$19.77
97032 x 1 (Assistant), 97110 x 2 (Assistant)
Units
3 units @ $18.36 average per unit
Reimbursement
$55.09 total reimbursement
3$55.09$18.36
97032 x 1 (No Assistant), 97110 x 4 (No Assistant)
Units
5 units @ $21.27 average per unit
Reimbursement
$106.34 total reimbursement
5$106.34$21.27
97112 x 3 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $26.76 average per unit
Reimbursement
$133.78 total reimbursement
5$133.78$26.76
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.42 average per unit
Reimbursement
$105.68 total reimbursement
4$105.68$26.42
97110 x 2 (No Assistant), 97112 x 2 (No Assistant)
Units
4 units @ $25.57 average per unit
Reimbursement
$102.29 total reimbursement
4$102.29$25.57
97110 x 1 (No Assistant), 97112 x 3 (No Assistant)
Units
4 units @ $26.23 average per unit
Reimbursement
$104.92 total reimbursement
4$104.92$26.23
97110 x 2 (Assistant), 97112 x 1 (Assistant)
Units
3 units @ $22.29 average per unit
Reimbursement
$66.87 total reimbursement
3$66.87$22.29
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $23.93 average per unit
Reimbursement
$95.74 total reimbursement
4$95.74$23.93
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $23.57 average per unit
Reimbursement
$117.84 total reimbursement
5$117.84$23.57
97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $27.63 average per unit
Reimbursement
$110.53 total reimbursement
4$110.53$27.63
97016 x 1 (No Assistant), 97035 x 1 (No Assistant), 97110 x 2 (No Assistant)
Units
4 units @ $17.28 average per unit
Reimbursement
$69.13 total reimbursement
4$69.13$17.28
97110 x 2 (Assistant)
Units
2 units @ $23.27 average per unit
Reimbursement
$46.55 total reimbursement
2$46.55$23.27
97110 x 1 (No Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $23.71 average per unit
Reimbursement
$118.56 total reimbursement
5$118.56$23.71
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $26.72 average per unit
Reimbursement
$106.87 total reimbursement
4$106.87$26.72
97110 x 4 (Assistant)
Units
4 units @ $26.63 average per unit
Reimbursement
$106.52 total reimbursement
4$106.52$26.63
97110 x 3 (No Assistant)
Units
3 units @ $24.43 average per unit
Reimbursement
$73.28 total reimbursement
3$73.28$24.43
97110 x 3 (Assistant)
Units
3 units @ $22.74 average per unit
Reimbursement
$68.22 total reimbursement
3$68.22$22.74
97110 x 4 (No Assistant)
Units
4 units @ $24.12 average per unit
Reimbursement
$96.47 total reimbursement
4$96.47$24.12

Top Healthcare Payers in Virginia

More Virginia Healthcare Payer Benchmarks

Aetna Better Health of Virginia

$141.54

paid in 34 days
View 5 recent CPT Code Combinations

Medicare Virginia

$104.65

paid in 14 days
View 31 recent CPT Code Combinations

Optima Health

$97.99

paid in 25 days
View 1 recent CPT Code Combinations

Aetna

$95.94

paid in 19 days
View 11 recent CPT Code Combinations

Carefirst BCBC - VA, DC, MD

$93.75

paid in 8 days
View 2 recent CPT Code Combinations

AMERICAN SPECIALTY HEALTH

$87.49

paid in 35 days
View 7 recent CPT Code Combinations

VA Community Care

$84.11

paid in 7 days
View 13 recent CPT Code Combinations

Anthem BCBS of Virginia

$83.94

paid in 19 days
View 26 recent CPT Code Combinations

Molina Complete Care of Virginia

$83.83

paid in 61 days
View 4 recent CPT Code Combinations

United Health Care

$80.67

paid in 11 days
View 19 recent CPT Code Combinations

Tricare East

$77.32

paid in 7 days
View 34 recent CPT Code Combinations

Humana

$74.98

paid in 14 days
View 5 recent CPT Code Combinations

MedRisk

$65.00

paid in NaN days
View 6 recent CPT Code Combinations

Anthem BCBS Wisconsin

$60.00

paid in 9 days
View 22 recent CPT Code Combinations

CPT copyright 2023 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.

Related:

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 See Demo

See how Strata can grow your practice

300
$100.00
70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,399.98 additional cash each month for your practice

Speak to an Expert See Demo