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 91.37% 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 12.70% 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 $88.15 for physical therapy, occupational therapy and speech language therapy practices.

What is Anthem BCBS's average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $78.75 for physical therapy, occupational therapy and speech language therapy practices.

Anthem BCBS Reimbursement Rates in New York

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

Anthem BCBS Reimbursement Rates for Physical Therapy Practices in New York

Physical Therapy Practice Benchmarks in New York

Average Reimbursement Per Visit

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

$78.75

Latest

$150.00

Expected

$78.75

High

$150.00

Mean

$77.81

Low

$63.16

Median

$73.14

Recent Visit CPT Code Combinations

Data refreshed 8 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97140 x 2 (No Assistant) Units 2 units @ $38.95 average per unit Reimbursement $77.90 total reimbursement	2	$77.90	$38.95
97110 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 3 units @ $24.01 average per unit Reimbursement $72.04 total reimbursement	3	$72.04	$24.01
97110 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $25.78 average per unit Reimbursement $77.33 total reimbursement	3	$77.33	$25.78
97110 x 2 (No Assistant), 97112 x 1 (No Assistant) Units 3 units @ $20.00 average per unit Reimbursement $60.00 total reimbursement	3	$60.00	$20.00
97140 x 2 (Assistant) Units 2 units @ $38.13 average per unit Reimbursement $76.25 total reimbursement	2	$76.25	$38.13
97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 2 units @ $40.71 average per unit Reimbursement $81.43 total reimbursement	2	$81.43	$40.71
97110 x 2 (No Assistant) Units 2 units @ $40.08 average per unit Reimbursement $80.17 total reimbursement	2	$80.17	$40.08
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $26.87 average per unit Reimbursement $80.60 total reimbursement	3	$80.60	$26.87
97110 x 2 (Assistant) Units 2 units @ $33.84 average per unit Reimbursement $67.69 total reimbursement	2	$67.69	$33.84
97110 x 1 (Assistant), 97140 x 1 (Assistant) Units 2 units @ $38.75 average per unit Reimbursement $77.50 total reimbursement	2	$77.50	$38.75
97035 x 1 (Assistant), 97140 x 1 (Assistant) Units 2 units @ $35.59 average per unit Reimbursement $71.19 total reimbursement	2	$71.19	$35.59
97110 x 1 (No Assistant), 97112 x 1 (No Assistant) Units 2 units @ $41.11 average per unit Reimbursement $82.22 total reimbursement	2	$82.22	$41.11

Top Healthcare Payers in New York

BCBS New York: $158.87
paid in 66 days
Aetna (Zaya): $152.29
paid in 79 days
1199 SEIU: $141.37
paid in 43 days
AllState: $118.69
paid in 23 days
Geico: $114.06
paid in 138 days
Medicare of New York: $108.50
paid in 16 days
Medicare of New York (Queens): $108.36
paid in 20 days
UHC: $104.69
paid in 26 days
MVP: $95.51
paid in 95 days
Medicare of New York (Upstate): $92.15
paid in 24 days
Univera: $91.08
paid in 11 days
BCBS - Health Now: $86.58
paid in 15 days
Fidelis Care: $83.02
paid in 35 days
Aetna: $82.04
paid in 7 days
BCBS Highmark NY Western and Northeastern: $79.79
paid in 11 days
Healthfirst of NY: $79.36
paid in 12 days
Anthem BCBS: $78.75
paid in 10 days
Empire Plan NYSHIP: $76.93
paid in 15 days
American Specialty Health: $74.90
paid in 44 days
United Health Care (Oxford): $74.37
paid in 23 days
Aetna Medicare: $73.65
paid in 5 days
CDPHP Medicare: $67.69
paid in 30 days
Capital District Physicians Health Plan (CDPHP): $65.16
paid in 20 days
Independent Health: $57.26
paid in 21 days
Emblem Health - HIP/HMO: $54.57
paid in 35 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

See How StrataPT Can Grow Your Practice

Book a Demo Explore Payer Data

Book a Demo With the #1 Billing and EMR System

Built to Get You Paid
Our platform knows all your payer rules and identifies errors proactively to ensure you get paid fast and accurately.
All-In-One Platform Built for Growth
Strata combines your EMR, billing, and revenue cycle management into a single system that streamlines workflows, reduces errors, and gets you paid.
AI-Powered Denial Prevention
Our proprietary AI identifies and prevents denials before claims are submitted - included at no additional cost.

Book a Demo

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 New York is 91.37% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in New York is 12.70% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in New York is $88.15 for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in New York is $78.75 for physical therapy, occupational therapy and speech language therapy practices.

Anthem BCBS Reimbursement Rates in New York

Anthem BCBS Reimbursement Rates for Physical Therapy Practices in New York

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 8 hours ago

Top Healthcare Payers in New York

BCBS New York

Aetna (Zaya)

1199 SEIU

AllState

Geico

Medicare of New York

Medicare of New York (Queens)

UHC

MVP

Medicare of New York (Upstate)

Univera

BCBS - Health Now

Fidelis Care

Aetna

BCBS Highmark NY Western and Northeastern

Healthfirst of NY

Anthem BCBS

Empire Plan NYSHIP

American Specialty Health

United Health Care (Oxford)

Aetna Medicare

CDPHP Medicare

Capital District Physicians Health Plan (CDPHP)

Independent Health

Emblem Health - HIP/HMO

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

Related: