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 California?

The average First Pass Clean Claim Rate in California is 96.94% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in California?

The average Denial Rate in California is 5.46% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in California?

The expected Reimbursement Per Visit in California is $94.18 for physical therapy, occupational therapy and speech language therapy practices.

What is the average number of days it takes to complete patient notes in California?

The average most therapists in California complete patient notes in 5.55 days.

What is the average number of Units Per Visit in California?

The average number of Units Per Visit in California is 3.28 for physical therapy, occupational therapy and speech language therapy practices.

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Physical Therapy Practice Benchmarks in California

Running a PT, OT or SLP practice in California shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Operational Benchmarks for Physical Therapy Practices in California

Average Days Until Documentation Completion

Across StrataPT's clients, this metric reflects the average number of days before a patient's notes are completed. StrataPT is then able to begin processing the claims.

Data refreshed 1 day ago

4.59 days

Latest

5.55 days

Average

8.23 days

Max

2.23 days

Min

Payer Scenario Mix

Across StrataPT's clients, this reflects the various payer mixes we often see.

Data refreshed 1 day ago

Average Units Per Visit

While every practice is different, we can give you a general sense for units per visit by looking at the aggregate data across StrataPT's customers.

Data refreshed 1 day ago

3.91

Latest

3.332

Expected

3.91

High

3.91

Mean

3.28

Low

3.114

Median

3.249

Financial & RCM Benchmarks for Physical Therapy Practices in California

Healthcare Payer Reimbursement Rates in California

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

93.80%

Latest

96.94%

Average

99.70%

Max

91.60%

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

2.80%

Latest

5.46%

Average

11.70%

Max

2.80%

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

$94.18

Latest

$112.33

Expected

$94.18

High

$112.33

Mean

$94.46

Low

$88.13

Median

$94.25

Top Healthcare Payers in California

Medicare of California (Northern): $159.21
paid in 14 days
MedRisk: $106.04
paid in 33 days
California Medicare South: $105.68
paid in 15 days
Aetna: $104.16
paid in 22 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.

Physical Therapy Practice Benchmarks by State

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Frequently Asked Questions

Physical Therapy Practice Benchmarks in California

Operational Benchmarks for Physical Therapy Practices in California

Average Units Per Visit

While every practice is different, we can give you a general sense for units per visit by looking at the aggregate data across StrataPT's customers.

Data refreshed 1 day ago

Financial & RCM Benchmarks for Physical Therapy Practices in California

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 California

Medicare of California (Northern)

MedRisk

California Medicare South

Aetna

Physical Therapy Practice Benchmarks by State

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Frequently Asked Questions

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