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 Hawaii?

The average First Pass Clean Claim Rate in Hawaii is 92.23% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Hawaii?

The average Denial Rate in Hawaii is 9.14% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Hawaii?

The expected Reimbursement Per Visit in Hawaii is $145.15 for physical therapy, occupational therapy and speech language therapy practices.

What is HMSA's average Reimbursement per Visit in Hawaii?

The expected Reimbursement Per Visit in Hawaii is $131.51 for physical therapy, occupational therapy and speech language therapy practices.

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HMSA Reimbursement Rates in Hawaii

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

HMSA Reimbursement Rates for Physical Therapy Practices in Hawaii

Physical Therapy Practice Benchmarks in Hawaii

Average Reimbursement Per Visit

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

$131.51

Latest

$136.87

Expected

$131.51

High

$155.48

Mean

$130.75

Low

$113.24

Median

$132.01

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant) Units 4 units @ $25.97 average per unit Reimbursement $103.89 total reimbursement	4	$103.89	$25.97
97140 x 1 (No Assistant), 97530 x 3 (No Assistant) Units 4 units @ $31.31 average per unit Reimbursement $125.26 total reimbursement	4	$125.26	$31.31
97530 x 4 (No Assistant) Units 4 units @ $28.51 average per unit Reimbursement $114.03 total reimbursement	4	$114.03	$28.51
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $34.20 average per unit Reimbursement $136.82 total reimbursement	4	$136.82	$34.20
97110 x 3 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $25.16 average per unit Reimbursement $100.64 total reimbursement	4	$100.64	$25.16
97110 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $27.29 average per unit Reimbursement $109.17 total reimbursement	4	$109.17	$27.29
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $27.92 average per unit Reimbursement $111.69 total reimbursement	4	$111.69	$27.92
97110 x 2 (No Assistant), 97116 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $28.02 average per unit Reimbursement $112.09 total reimbursement	4	$112.09	$28.02
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $32.84 average per unit Reimbursement $131.37 total reimbursement	4	$131.37	$32.84
97110 x 2 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $29.33 average per unit Reimbursement $117.33 total reimbursement	4	$117.33	$29.33

Top Healthcare Payers in Hawaii

HMSA: $131.51
paid in 13 days
Medicare of Hawaii: $109.40
paid in 14 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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