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 Florida?

The average First Pass Clean Claim Rate in Florida is 98.05% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Florida?

The average Denial Rate in Florida is 7.35% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Florida?

The expected Reimbursement Per Visit in Florida is $92.16 for physical therapy, occupational therapy and speech language therapy practices.

What is Sunshine Health's average Reimbursement per Visit in Florida?

The expected Reimbursement Per Visit in Florida is $72.72 for physical therapy, occupational therapy and speech language therapy practices.

Sunshine Health Reimbursement Rates in Florida

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

Sunshine Health Reimbursement Rates for Physical Therapy Practices in Florida

Physical Therapy Practice Benchmarks in Florida

Average Reimbursement Per Visit

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

$72.72

Latest

$67.72

Expected

$72.72

High

$78.81

Mean

$70.61

Low

$63.56

Median

$70.94

Recent Visit CPT Code Combinations

Data refreshed 12 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97530 x 4 (No Assistant) Units 4 units @ $20.33 average per unit Reimbursement $81.32 total reimbursement	4	$81.32	$20.33
97112 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant) Units 3 units @ $35.93 average per unit Reimbursement $107.80 total reimbursement	3	$107.80	$35.93
97110 x 2 (No Assistant) Units 2 units @ $20.33 average per unit Reimbursement $40.66 total reimbursement	2	$40.66	$20.33
97168 x 1 (No Assistant) Units 1 units @ $58.11 average per unit Reimbursement $58.11 total reimbursement	1	$58.11	$58.11
97530 x 4 (Assistant) Units 4 units @ $20.33 average per unit Reimbursement $81.32 total reimbursement	4	$81.32	$20.33
92507 x 2 (No Assistant) Units 2 units @ $20.33 average per unit Reimbursement $40.66 total reimbursement	2	$40.66	$20.33
97110 x 3 (No Assistant) Units 3 units @ $20.33 average per unit Reimbursement $60.99 total reimbursement	3	$60.99	$20.33
97110 x 4 (Assistant) Units 4 units @ $20.60 average per unit Reimbursement $82.40 total reimbursement	4	$82.40	$20.60
97110 x 4 (No Assistant) Units 4 units @ $18.92 average per unit Reimbursement $75.68 total reimbursement	4	$75.68	$18.92
92507 x 4 (No Assistant) Units 4 units @ $20.33 average per unit Reimbursement $81.32 total reimbursement	4	$81.32	$20.33
97110 x 3 (Assistant) Units 3 units @ $20.45 average per unit Reimbursement $61.36 total reimbursement	3	$61.36	$20.45
97530 x 2 (Assistant) Units 2 units @ $20.33 average per unit Reimbursement $40.66 total reimbursement	2	$40.66	$20.33

Top Healthcare Payers in Florida

Medicare of Florida- Part B: $108.47
paid in 14 days
VA Community Care: $105.45
paid in 7 days
Florida Medicare: $103.43
paid in 15 days
Medicare-Railroad: $95.27
paid in 18 days
BCBS - FL: $79.69
paid in 10 days
MedRisk: $78.00
paid in 19 days
Aetna: $75.56
paid in 6 days
Aetna Medicare: $74.55
paid in 10 days
Humana: $74.22
paid in 9 days
Sunshine Health: $72.72
paid in 7 days
UHC: $72.45
paid in 37 days
BCBS (Out of Network): $68.88
paid in 7 days
Tricare: $62.70
paid in 9 days
Align Networks (One Call PT): $60.85
paid in 60 days
Health Network One: $60.75
paid in 138 days
Therapy Network of Florida: $60.00
paid in 47 days
AARP Medicare: $57.00
paid in 22 days
UMR: $55.17
paid in 23 days
American Specialty Health: $39.82
paid in 17 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 Florida is 98.05% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in Florida is 7.35% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Florida is $92.16 for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Florida is $72.72 for physical therapy, occupational therapy and speech language therapy practices.

Sunshine Health Reimbursement Rates in Florida

Sunshine Health Reimbursement Rates for Physical Therapy Practices in Florida

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 12 hours ago

Top Healthcare Payers in Florida

Medicare of Florida- Part B

VA Community Care

Florida Medicare

Medicare-Railroad

BCBS - FL

MedRisk

Aetna

Aetna Medicare

Humana

Sunshine Health

UHC

BCBS (Out of Network)

Tricare

Align Networks (One Call PT)

Health Network One

Therapy Network of Florida

AARP Medicare

UMR

American Specialty Health

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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