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 Alabama?

The average First Pass Clean Claim Rate in Alabama is 97.72% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Alabama?

The average Denial Rate in Alabama is 7.02% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Alabama?

The expected Reimbursement Per Visit in Alabama is $119.84 for physical therapy, occupational therapy and speech language therapy practices.

What is Medicare of Alabama's average Reimbursement per Visit in Alabama?

The expected Reimbursement Per Visit in Alabama is $94.94 for physical therapy, occupational therapy and speech language therapy practices.

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Medicare of Alabama Reimbursement Rates

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

Medicare of Alabama Reimbursement Rates for Physical Therapy Practices in Alabama

Physical Therapy Practice Benchmarks in Alabama

Average Reimbursement Per Visit

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

$94.94

Latest

$85.38

Expected

$94.94

High

$97.44

Mean

$89.31

Low

$78.45

Median

$89.66

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97140 x 2 (No Assistant), G0283 x 1 (No Assistant) Units 4 units @ $18.57 average per unit Reimbursement $74.29 total reimbursement	4	$74.29	$18.57
97110 x 2 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $23.96 average per unit Reimbursement $95.84 total reimbursement	4	$95.84	$23.96
97110 x 2 (No Assistant), 97112 x 1 (No Assistant) Units 3 units @ $23.76 average per unit Reimbursement $71.28 total reimbursement	3	$71.28	$23.76
97016 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $19.65 average per unit Reimbursement $78.60 total reimbursement	4	$78.60	$19.65
97016 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $18.54 average per unit Reimbursement $74.16 total reimbursement	4	$74.16	$18.54
97016 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant) Units 5 units @ $14.63 average per unit Reimbursement $73.13 total reimbursement	5	$73.13	$14.63
97018 x 1 (No Assistant), 97022 x 1 (No Assistant), 97110 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 5 units @ $17.57 average per unit Reimbursement $87.83 total reimbursement	5	$87.83	$17.57
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $20.68 average per unit Reimbursement $82.73 total reimbursement	4	$82.73	$20.68
97110 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 3 units @ $21.85 average per unit Reimbursement $65.55 total reimbursement	3	$65.55	$21.85
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant) Units 4 units @ $19.70 average per unit Reimbursement $78.81 total reimbursement	4	$78.81	$19.70
97022 x 1 (No Assistant), 97112 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $20.64 average per unit Reimbursement $82.55 total reimbursement	4	$82.55	$20.64
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $23.65 average per unit Reimbursement $94.62 total reimbursement	4	$94.62	$23.65
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant) Units 4 units @ $21.59 average per unit Reimbursement $86.35 total reimbursement	4	$86.35	$21.59
97016 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 2 (No Assistant), G0283 x 1 (No Assistant) Units 5 units @ $16.46 average per unit Reimbursement $82.28 total reimbursement	5	$82.28	$16.46
97016 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant) Units 5 units @ $17.44 average per unit Reimbursement $87.20 total reimbursement	5	$87.20	$17.44
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant) Units 4 units @ $20.07 average per unit Reimbursement $80.29 total reimbursement	4	$80.29	$20.07

Top Healthcare Payers in Alabama

BCBS of Alabama: $127.01
paid in 8 days
UHC: $126.53
paid in 19 days
MedRisk: $104.00
paid in 28 days
Medicare of Alabama: $94.94
paid in 16 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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