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 91.54% 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 13.82% 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 $94.38 for physical therapy, occupational therapy and speech language therapy practices.

What is Medicare of New York (Queens)'s average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $110.68 for physical therapy, occupational therapy and speech language therapy practices.

Medicare of New York (Queens) Reimbursement Rates

Accepting Medicare of New York (Queens) shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Medicare of New York (Queens) 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 Medicare of New York (Queens) and a healthcare provider are confidential, we can give you a general sense for Medicare of New York (Queens)'s reimbursement rates by looking at the aggregate data across StrataPT's customers.

$110.68

Latest

$123.61

Expected

$110.68

High

$131.88

Mean

$117.14

Low

$100.09

Median

$116.85

Recent Visit CPT Code Combinations

Data refreshed 20 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $29.82 average per unit Reimbursement $119.26 total reimbursement	4	$119.26	$29.82
97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 3 units @ $31.63 average per unit Reimbursement $94.88 total reimbursement	3	$94.88	$31.63
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97164 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $38.67 average per unit Reimbursement $154.66 total reimbursement	4	$154.66	$38.67
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $31.10 average per unit Reimbursement $124.40 total reimbursement	4	$124.40	$31.10

Top Healthcare Payers in New York

Aetna (Zaya): $152.44
paid in 121 days
1199 SEIU: $141.37
paid in 71 days
Medicare of New York: $120.12
paid in 16 days
Fidelis Care: $117.77
paid in 26 days
ALLSTATE: $114.60
paid in 45 days
Medicare of New York (Queens): $110.68
paid in 15 days
UHC: $93.15
paid in 21 days
BCBS New York: $90.70
paid in 57 days
United Health Care (Oxford): $86.82
paid in 28 days
Medicare of New York (Upstate): $84.24
paid in 16 days
Healthfirst of NY: $80.80
paid in 10 days
Univera: $80.02
paid in 8 days
Anthem BCBS: $79.05
paid in 10 days
BCBS of Western NY (Highmark) - Health Now: $77.84
paid in 14 days
Empire Plan NYSHIP: $76.84
paid in 11 days
Aetna Medicare: $70.98
paid in 6 days
American Specialty Health: $68.67
paid in 33 days
Capital District Physicians Health Plan (CDPHP): $68.07
paid in 20 days
Emblem Health - HIP/HMO: $64.59
paid in 38 days
CDPHP Medicare: $63.71
paid in 30 days
Aetna: $59.82
paid in 7 days
Independent Health: $58.98
paid in 20 days
MVP: $47.07
paid in 58 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

: 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 91.54% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in New York is 13.82% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in New York is $94.38 for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in New York is $110.68 for physical therapy, occupational therapy and speech language therapy practices.

Medicare of New York (Queens) Reimbursement Rates

Medicare of New York (Queens) Reimbursement Rates for Physical Therapy Practices in New York

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 20 hours ago

Top Healthcare Payers in New York

Aetna (Zaya)

1199 SEIU

Medicare of New York

Fidelis Care

ALLSTATE

Medicare of New York (Queens)

UHC

BCBS New York

United Health Care (Oxford)

Medicare of New York (Upstate)

Healthfirst of NY

Univera

Anthem BCBS

BCBS of Western NY (Highmark) - Health Now

Empire Plan NYSHIP

Aetna Medicare

American Specialty Health

Capital District Physicians Health Plan (CDPHP)

Emblem Health - HIP/HMO

CDPHP Medicare

Aetna

Independent Health

MVP

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Billing Evaluation

Frequently Asked Questions

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