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 Texas?

The average First Pass Clean Claim Rate in Texas is 94.81% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Texas?

The average Denial Rate in Texas is 8.08% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Texas?

The expected Reimbursement Per Visit in Texas is $108.42 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Reimbursement Rates in Texas

Accepting healthcare payers in Texas 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 Texas

Physical Therapy Practice Benchmarks in Texas

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

98.70%

Latest

94.81%

Average

99.20%

Max

73.80%

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 1 day ago

8.20%

Latest

8.08%

Average

20.80%

Max

4.40%

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 1 day ago

$108.42

Latest

$106.97

Expected

$108.42

High

$110.16

Mean

$97.22

Low

$86.37

Median

$94.51

Top Healthcare Payers in Texas

Superior: $134.38
paid in 9 days
BCBS of Texas: $100.84
paid in 9 days
Medicare: $94.06
paid in 21 days
Community First Health Plans: $89.92
paid in 25 days
Humana: $80.32
paid in 13 days
UHC: $79.42
paid in 37 days
Tricare West: $70.91
paid in 9 days
American Specialty Health: $69.69
paid in 22 days
Aetna "Holista": $27.18
paid in 31 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 Texas is 94.81% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in Texas is 8.08% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Texas is $108.42 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Reimbursement Rates in Texas

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Texas

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 Texas

Superior

BCBS of Texas

Medicare

Community First Health Plans

Humana

UHC

Tricare West

American Specialty Health

Aetna "Holista"

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

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