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 New York?

The average First Pass Clean Claim Rate in New York is 92.60% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in New York?

The average Denial Rate in New York is 14.06% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $89.98 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in New York

Accepting healthcare payers in New York shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in New York

Physical Therapy Practice Benchmarks in New York

First Pass Clean Claim Rate

The percentage of claims which meet standards for correct coding, modifiers, structure, and formatting on the first attempt.

Data refreshed 18 hours ago

90.90%

Latest

92.60%

Average

98.50%

Max

78.70%

Min

Denial Rate

The percentage of claims which are eventually denied by insurers, for a variety of possible reasons, including: patient policy information, exhausted benefits, authorization, limits, or provider status.

Data refreshed 18 hours ago

6.20%

Latest

14.06%

Average

17.00%

Max

6.20%

Min

Average Reimbursement Per Visit

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

Data refreshed 18 hours ago

$89.98

Latest

$101.04

Expected

$89.98

High

$111.25

Mean

$91.38

Low

$85.61

Median

$90.85

Top Healthcare Payers in New York

Aetna (Zaya): $154.52
paid in 137 days
1199 SEIU: $143.54
paid in 72 days
Geico: $133.31
paid in 62 days
Fidelis Care: $116.98
paid in 27 days
Medicare of New York: $115.70
paid in 20 days
Medicare of New York (Queens): $98.07
paid in 14 days
Univera: $96.28
paid in 40 days
Managed Physical Network: $85.33
paid in 78 days
BCBS of Western NY (Highmark): $79.37
paid in 18 days
BCBS New York: $77.41
paid in 49 days
Healthfirst of NY: $76.78
paid in 11 days
UHC: $75.68
paid in 34 days
Empire Plan NYSHIP: $75.39
paid in 15 days
Independent Health: $73.97
paid in 23 days
Medicare of New York (Upstate): $72.41
paid in 15 days
American Specialty Health: $68.00
paid in 38 days
United Health Care (Oxford): $67.50
paid in 28 days
Emblem Health: $66.71
paid in 29 days
Aetna: $53.58
paid in 7 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

Healthcare Payer Reimbursement Rates in New York

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in New York

Average Reimbursement Per Visit

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

Data refreshed 18 hours ago

Top Healthcare Payers in New York

Aetna (Zaya)

1199 SEIU

Geico

Fidelis Care

Medicare of New York

Medicare of New York (Queens)

Univera

Managed Physical Network

BCBS of Western NY (Highmark)

BCBS New York

Healthfirst of NY

UHC

Empire Plan NYSHIP

Independent Health

Medicare of New York (Upstate)

American Specialty Health

United Health Care (Oxford)

Emblem Health

Aetna

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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