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 California?

The average First Pass Clean Claim Rate in California is 98.41% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in California?

The average Denial Rate in California is 7.04% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in California?

The expected Reimbursement Per Visit in California is $91.03 for physical therapy, occupational therapy and speech language therapy practices.

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

The expected Reimbursement Per Visit in California is $91.93 for physical therapy, occupational therapy and speech language therapy practices.

American Specialty Health Reimbursement Rates in California

Accepting American Specialty Health in California 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 California

Physical Therapy Practice Benchmarks in California

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.

$91.93

Latest

$86.22

Expected

$91.93

High

$101.95

Mean

$82.88

Low

$70.89

Median

$81.28

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 2 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $27.36 average per unit Reimbursement $82.07 total reimbursement	3	$82.07	$27.36
97112 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $18.75 average per unit Reimbursement $75.00 total reimbursement	4	$75.00	$18.75
97112 x 1 (No Assistant), 97140 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $18.75 average per unit Reimbursement $75.00 total reimbursement	4	$75.00	$18.75
97140 x 1 (Assistant), 97530 x 2 (Assistant) Units 3 units @ $30.00 average per unit Reimbursement $90.00 total reimbursement	3	$90.00	$30.00

Top Healthcare Payers in California

MedRisk: $124.78
paid in 27 days
Anthem Blue Cross of California: $107.71
paid in 17 days
Sante Health System and Affiliates: $99.99
paid in 10 days
Medicare of California (Northern): $96.86
paid in 14 days
California Medicare South: $96.05
paid in 15 days
American Specialty Health: $91.93
paid in 23 days
Aetna: $89.52
paid in 7 days
Anthem Blue Cross of California: $88.07
paid in 17 days
Align Networks (One Call PT): $82.99
paid in 23 days
BLUE SHIELD CA NATIONAL COVERAGE A CATHOLIC HEALTHCARE TRUST: $81.95
paid in 23 days
United Physicians Network: $76.70
paid in 16 days
UHC: $76.52
paid in 26 days
LaSalle Medical Associates: $71.41
paid in 23 days
Inland Empire Health plan: $46.93
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.

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

: This data represents aggregated & anonymized data across PT, OT and SLP practices on StrataPT's EMR & RCM platforms.
: We use dashed lines to represent data that is likely to change quite often.
: The average First Pass Clean Claim Rate in California is 98.41% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in California is 7.04% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in California is $91.03 for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in California is $91.93 for physical therapy, occupational therapy and speech language therapy practices.

American Specialty Health Reimbursement Rates in California

American Specialty Health Reimbursement Rates for Physical Therapy Practices in California

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 1 day ago

Top Healthcare Payers in California

MedRisk

Anthem Blue Cross of California

Sante Health System and Affiliates

Medicare of California (Northern)

California Medicare South

American Specialty Health

Aetna

Anthem Blue Cross of California

Align Networks (One Call PT)

BLUE SHIELD CA NATIONAL COVERAGE A CATHOLIC HEALTHCARE TRUST

United Physicians Network

UHC

LaSalle Medical Associates

Inland Empire Health plan

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Demo With the #1 Billing and EMR System

Built to Get You Paid

All-In-One Platform Built for Growth

AI-Powered Denial Prevention

Frequently Asked Questions

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