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 94.61% 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 13.90% 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 $97.60 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 21 hours ago

99.40%

Latest

94.61%

Average

99.40%

Max

86.80%

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 21 hours ago

1.40%

Latest

13.90%

Average

26.80%

Max

1.40%

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 21 hours ago

$97.60

Latest

$64.57

Expected

$97.60

High

$131.21

Mean

$93.44

Low

$61.11

Median

$92.98

Top Healthcare Payers in New York

1199 SEIU: $128.87
paid in 38 days
Medicare of New York: $123.15
paid in 16 days
ALLSTATE: $122.41
paid in 26 days
Travelers: $118.95
paid in 48 days
Medicare of New York (Queens): $116.57
paid in 0 days
Managed Physical Network: $85.33
paid in 29 days
Empire Plan NYSHIP: $84.08
paid in 15 days
Humana: $83.05
paid in 29 days
Univera: $82.44
paid in 47 days
UHC: $79.06
paid in 56 days
BCBS of Western NY (Highmark): $77.96
paid in 12 days
American Specialty Health: $76.74
paid in 22 days
Healthfirst of NY: $71.90
paid in 12 days
BCBS New York: $71.03
paid in 47 days
Fidelis Care: $68.44
paid in 26 days
Medicare of New York (Upstate): $68.29
paid in 15 days
Aetna: $62.89
paid in 7 days
Independent Health: $58.28
paid in 24 days
Emblem Health: $56.98
paid in 29 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 21 hours ago

Top Healthcare Payers in New York

1199 SEIU

Medicare of New York

ALLSTATE

Travelers

Medicare of New York (Queens)

Managed Physical Network

Empire Plan NYSHIP

Humana

Univera

UHC

BCBS of Western NY (Highmark)

American Specialty Health

Healthfirst of NY

BCBS New York

Fidelis Care

Medicare of New York (Upstate)

Aetna

Independent Health

Emblem Health

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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