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 Wisconsin?

The average First Pass Clean Claim Rate in Wisconsin is 94.71% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Wisconsin?

The average Denial Rate in Wisconsin is 11.92% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Wisconsin?

The expected Reimbursement Per Visit in Wisconsin is $80.09 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in Wisconsin

Accepting healthcare payers in Wisconsin 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 Wisconsin

Physical Therapy Practice Benchmarks in Wisconsin

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 9 hours ago

98.30%

Latest

94.71%

Average

99.20%

Max

83.20%

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 9 hours ago

6.20%

Latest

11.92%

Average

20.80%

Max

6.20%

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 9 hours ago

$80.09

Latest

$106.51

Expected

$80.09

High

$106.51

Mean

$81.02

Low

$70.11

Median

$79.55

Top Healthcare Payers in Wisconsin

Medicare of Wisconsin: $88.64
paid in 16 days
Anthem BCBS Wisconsin: $79.15
paid in 17 days
UHC: $70.00
paid in 11 days
Medica: $64.74
paid in 162 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 Wisconsin

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Wisconsin

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 9 hours ago

Top Healthcare Payers in Wisconsin

Medicare of Wisconsin

Anthem BCBS Wisconsin

UHC

Medica

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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