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 Virginia?

The average First Pass Clean Claim Rate in Virginia is 96.59% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Virginia?

The average Denial Rate in Virginia is 9.07% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Virginia?

The expected Reimbursement Per Visit in Virginia is $86.37 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Reimbursement Rates in Virginia

Accepting healthcare payers in Virginia 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 Virginia

Physical Therapy Practice Benchmarks in Virginia

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

99.70%

Latest

96.59%

Average

99.70%

Max

85.40%

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

0.10%

Latest

9.07%

Average

13.70%

Max

0.10%

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

$86.37

Latest

$84.38

Expected

$86.37

High

$111.22

Mean

$88.27

Low

$83.17

Median

$87.15

Top Healthcare Payers in Virginia

BCBS of West Virginia: $137.87
paid in 118 days
Aetna Better Health of Virginia: $137.82
paid in 20 days
MedRisk: $105.72
paid in 29 days
* BCBS of Virginia: $101.79
paid in 17 days
VA Community Care: $91.68
paid in 16 days
Medicare of Virginia: $85.47
paid in 15 days
Medicare of West Virginia: $81.97
paid in 20 days
Tricare East: $80.82
paid in 9 days
American Specialty Health: $77.60
paid in 17 days
UHC: $75.23
paid in 21 days
Humana: $72.96
paid in 13 days
Aetna: $72.37
paid in 6 days
Sentara: $71.43
paid in 107 days
Carefirst BCBC - VA, DC, MD: $68.38
paid in 10 days
Anthem BCBS Wisconsin: $64.66
paid in 9 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 Virginia is 96.59% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in Virginia is 9.07% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Virginia is $86.37 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Reimbursement Rates in Virginia

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Virginia

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 Virginia

BCBS of West Virginia

Aetna Better Health of Virginia

MedRisk

* BCBS of Virginia

VA Community Care

Medicare of Virginia

Medicare of West Virginia

Tricare East

American Specialty Health

UHC

Humana

Aetna

Sentara

Carefirst BCBC - VA, DC, MD

Anthem BCBS Wisconsin

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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