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 Georgia?

The average First Pass Clean Claim Rate in Georgia is 94.41% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Georgia?

The average Denial Rate in Georgia is 7.83% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Georgia?

The expected Reimbursement Per Visit in Georgia is $81.52 for physical therapy, occupational therapy and speech language therapy practices.

What is Aetna's average Reimbursement per Visit in Georgia?

The expected Reimbursement Per Visit in Georgia is $51.59 for physical therapy, occupational therapy and speech language therapy practices.

Aetna Reimbursement Rates in Georgia

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

Aetna Reimbursement Rates for Physical Therapy Practices in Georgia

Physical Therapy Practice Benchmarks in Georgia

Average Reimbursement Per Visit

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

$51.59

Latest

$58.61

Expected

$51.59

High

$68.45

Mean

$58.35

Low

$50.41

Median

$58.12

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 3 units @ $14.11 average per unit Reimbursement $42.33 total reimbursement	3	$42.33	$14.11
97113 x 1 (No Assistant), 97113 x 1 (No Assistant), 97113 x 1 (No Assistant) Units 3 units @ $20.45 average per unit Reimbursement $61.35 total reimbursement	3	$61.35	$20.45
97113 x 1 (No Assistant), 97113 x 1 (No Assistant), 97113 x 1 (No Assistant), 97113 x 1 (No Assistant) Units 4 units @ $19.63 average per unit Reimbursement $78.54 total reimbursement	4	$78.54	$19.63
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $20.10 average per unit Reimbursement $60.30 total reimbursement	3	$60.30	$20.10
97012 x 1 (Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (Assistant) Units 4 units @ $12.17 average per unit Reimbursement $48.69 total reimbursement	4	$48.69	$12.17
97110 x 1 (Assistant), 97110 x 1 (No Assistant), 97140 x 1 (Assistant) Units 3 units @ $13.75 average per unit Reimbursement $41.25 total reimbursement	3	$41.25	$13.75
97110 x 1 (No Assistant), 97110 x 1 (Assistant), 97530 x 1 (Assistant) Units 3 units @ $15.40 average per unit Reimbursement $46.19 total reimbursement	3	$46.19	$15.40
97164 x 1 (No Assistant) Units 1 units @ $45.03 average per unit Reimbursement $45.03 total reimbursement	1	$45.03	$45.03
97113 x 1 (Assistant), 97113 x 1 (No Assistant), 97113 x 1 (No Assistant) Units 3 units @ $17.24 average per unit Reimbursement $51.72 total reimbursement	3	$51.72	$17.24
97012 x 1 (Assistant), 97110 x 1 (No Assistant), 97110 x 1 (Assistant) Units 3 units @ $11.95 average per unit Reimbursement $35.84 total reimbursement	3	$35.84	$11.95
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 3 units @ $16.59 average per unit Reimbursement $49.76 total reimbursement	3	$49.76	$16.59
97110 x 1 (Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 4 units @ $13.75 average per unit Reimbursement $54.99 total reimbursement	4	$54.99	$13.75
97161 x 1 (No Assistant) Units 1 units @ $65.82 average per unit Reimbursement $65.82 total reimbursement	1	$65.82	$65.82
97162 x 1 (No Assistant) Units 1 units @ $67.58 average per unit Reimbursement $67.58 total reimbursement	1	$67.58	$67.58
97113 x 1 (Assistant), 97113 x 1 (No Assistant), 97113 x 1 (No Assistant), 97113 x 1 (No Assistant) Units 4 units @ $17.14 average per unit Reimbursement $68.57 total reimbursement	4	$68.57	$17.14
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $17.90 average per unit Reimbursement $71.61 total reimbursement	4	$71.61	$17.90

Top Healthcare Payers in Georgia

MedRisk: $120.17
paid in 25 days
BCBS of Georgia: $93.79
paid in 15 days
Medicare of Georgia (Part A): $90.79
paid in 154 days
VA Community Care: $86.40
paid in 7 days
Medicare of Georgia: $81.22
paid in 15 days
Tricare East: $80.11
paid in 10 days
Align Networks (One Call PT): $73.12
paid in 52 days
Humana: $72.04
paid in 10 days
Streamline: $69.70
paid in 62 days
UMR: $55.00
paid in 27 days
Tricare: $52.36
paid in 27 days
Aetna: $51.59
paid in 8 days
American Specialty Health: $51.09
paid in 18 days
UHC: $50.36
paid in 19 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 Georgia is 94.41% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in Georgia is 7.83% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Georgia is $81.52 for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Georgia is $51.59 for physical therapy, occupational therapy and speech language therapy practices.

Aetna Reimbursement Rates in Georgia

Aetna Reimbursement Rates for Physical Therapy Practices in Georgia

Average Reimbursement Per Visit

While negotiated reimbursement rates between Aetna and a healthcare provider are confidential, we can give you a general sense for Aetna'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 Georgia

MedRisk

BCBS of Georgia

Medicare of Georgia (Part A)

VA Community Care

Medicare of Georgia

Tricare East

Align Networks (One Call PT)

Humana

Streamline

UMR

Tricare

Aetna

American Specialty Health

UHC

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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