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 97.94% 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 7.97% 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 $90.99 for physical therapy, occupational therapy and speech language therapy practices.

What is UHC's average Reimbursement per Visit in California?

The expected Reimbursement Per Visit in California is $89.74 for physical therapy, occupational therapy and speech language therapy practices.

UHC Reimbursement Rates in California

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

UHC Reimbursement Rates for Physical Therapy Practices in California

Physical Therapy Practice Benchmarks in California

Average Reimbursement Per Visit

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

$89.74

Latest

$90.96

Expected

$89.74

High

$125.38

Mean

$93.69

Low

$81.74

Median

$92.58

Recent Visit CPT Code Combinations

Data refreshed 21 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 2 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $30.07 average per unit Reimbursement $90.22 total reimbursement	3	$90.22	$30.07
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant) Units 4 units @ $26.43 average per unit Reimbursement $105.73 total reimbursement	4	$105.73	$26.43
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $22.67 average per unit Reimbursement $68.00 total reimbursement	3	$68.00	$22.67
97110 x 2 (Assistant), 97112 x 1 (Assistant) Units 3 units @ $28.78 average per unit Reimbursement $86.34 total reimbursement	3	$86.34	$28.78
97110 x 1 (No Assistant), 97140 x 3 (No Assistant) Units 4 units @ $17.00 average per unit Reimbursement $68.00 total reimbursement	4	$68.00	$17.00
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $23.67 average per unit Reimbursement $71.00 total reimbursement	3	$71.00	$23.67

Top Healthcare Payers in California

Sante Health System and Affiliates: $106.23
paid in 11 days
Medicare of California (Northern): $99.80
paid in 15 days
Anthem Blue Cross of California: $92.81
paid in 15 days
Anthem Blue Cross of California: $91.02
paid in 15 days
California Medicare South: $90.56
paid in 15 days
Align Networks (One Call PT): $90.30
paid in 27 days
UHC: $89.74
paid in 30 days
MedRisk: $86.27
paid in 26 days
American Specialty Health: $77.82
paid in 23 days
BLUE SHIELD CA NATIONAL COVERAGE A CATHOLIC HEALTHCARE TRUST: $77.18
paid in 14 days
Aetna: $76.53
paid in 7 days
United Physicians Network: $71.88
paid in 16 days
LaSalle Medical Associates: $69.79
paid in 74 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

UHC Reimbursement Rates in California

UHC Reimbursement Rates for Physical Therapy Practices in California

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 21 hours ago

Top Healthcare Payers in California

Sante Health System and Affiliates

Medicare of California (Northern)

Anthem Blue Cross of California

Anthem Blue Cross of California

California Medicare South

Align Networks (One Call PT)

UHC

MedRisk

American Specialty Health

BLUE SHIELD CA NATIONAL COVERAGE A CATHOLIC HEALTHCARE TRUST

Aetna

United Physicians Network

LaSalle Medical Associates

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

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Frequently Asked Questions

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