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 92.33% 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 15.02% 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 $91.35 for physical therapy, occupational therapy and speech language therapy practices.

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 1 day ago

96.10%

Latest

92.33%

Average

98.40%

Max

72.90%

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 1 day ago

15.30%

Latest

15.02%

Average

19.80%

Max

11.00%

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 1 day ago

$91.35

Latest

$107.14

Expected

$91.35

High

$107.14

Mean

$90.04

Low

$83.80

Median

$89.52

Top Healthcare Payers in New York

1199 SEIU: $143.54
paid in 32 days
Aetna (Zaya): $139.12
paid in 139 days
Geico: $133.31
paid in 111 days
Medicare of New York (Queens): $123.16
paid in 15 days
Medicare of New York: $116.83
paid in 16 days
Univera: $103.88
paid in 10 days
UHC: $102.11
paid in 21 days
Fidelis Care: $89.48
paid in 27 days
BCBS of Western NY (Highmark): $83.85
paid in 15 days
Anthem BCBS: $77.63
paid in 10 days
Healthfirst of NY: $76.78
paid in 10 days
Empire Plan NYSHIP: $75.76
paid in 13 days
Medicare of New York (Upstate): $75.11
paid in 16 days
United Health Care (Oxford): $70.00
paid in 28 days
BCBS New York: $68.93
paid in 48 days
American Specialty Health: $68.00
paid in 46 days
Emblem Health: $66.71
paid in 28 days
Independent Health: $63.39
paid in 23 days
Aetna: $52.81
paid in 16 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 1 day ago

Top Healthcare Payers in New York

1199 SEIU

Aetna (Zaya)

Geico

Medicare of New York (Queens)

Medicare of New York

Univera

UHC

Fidelis Care

BCBS of Western NY (Highmark)

Anthem BCBS

Healthfirst of NY

Empire Plan NYSHIP

Medicare of New York (Upstate)

United Health Care (Oxford)

BCBS New York

American Specialty Health

Emblem Health

Independent Health

Aetna

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Billing Evaluation

Frequently Asked Questions

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