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 Indiana?

The average First Pass Clean Claim Rate in Indiana is 94.26% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Indiana?

The average Denial Rate in Indiana is 15.24% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Indiana?

The expected Reimbursement Per Visit in Indiana is $91.46 for physical therapy, occupational therapy and speech language therapy practices.

What is Medicare of Indiana's average Reimbursement per Visit in Indiana?

The expected Reimbursement Per Visit in Indiana is $84.22 for physical therapy, occupational therapy and speech language therapy practices.

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Medicare of Indiana Reimbursement Rates

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

Medicare of Indiana Reimbursement Rates for Physical Therapy Practices in Indiana

Physical Therapy Practice Benchmarks in Indiana

Average Reimbursement Per Visit

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

$84.22

Latest

$87.35

Expected

$84.22

High

$102.01

Mean

$88.35

Low

$78.04

Median

$88.36

Recent Visit CPT Code Combinations

Data refreshed 13 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $25.40 average per unit Reimbursement $76.19 total reimbursement	3	$76.19	$25.40
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $24.57 average per unit Reimbursement $73.71 total reimbursement	3	$73.71	$24.57
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $20.82 average per unit Reimbursement $62.47 total reimbursement	3	$62.47	$20.82
97112 x 1 (Assistant), 97140 x 2 (Assistant) Units 3 units @ $21.15 average per unit Reimbursement $63.44 total reimbursement	3	$63.44	$21.15
97116 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 3 units @ $25.59 average per unit Reimbursement $76.77 total reimbursement	3	$76.77	$25.59
97140 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant) Units 3 units @ $25.08 average per unit Reimbursement $75.23 total reimbursement	3	$75.23	$25.08
97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 3 units @ $26.52 average per unit Reimbursement $79.56 total reimbursement	3	$79.56	$26.52
97110 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 3 units @ $25.27 average per unit Reimbursement $75.81 total reimbursement	3	$75.81	$25.27
97140 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 3 units @ $25.48 average per unit Reimbursement $76.45 total reimbursement	3	$76.45	$25.48
97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant) Units 3 units @ $22.40 average per unit Reimbursement $67.20 total reimbursement	3	$67.20	$22.40
97530 x 3 (No Assistant) Units 3 units @ $26.36 average per unit Reimbursement $79.09 total reimbursement	3	$79.09	$26.36
97112 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $24.66 average per unit Reimbursement $73.99 total reimbursement	3	$73.99	$24.66
97112 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $26.31 average per unit Reimbursement $78.93 total reimbursement	3	$78.93	$26.31
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $23.69 average per unit Reimbursement $71.07 total reimbursement	3	$71.07	$23.69

Top Healthcare Payers in Indiana

BCBS of Indiana: $97.45
paid in 18 days
Medicare of Indiana: $84.22
paid in 18 days
Aetna: $77.38
paid in 20 days
UHC: $75.00
paid in 10 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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