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 Arkansas?

The average First Pass Clean Claim Rate in Arkansas is 96.81% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Arkansas?

The average Denial Rate in Arkansas is 10.35% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Arkansas?

The expected Reimbursement Per Visit in Arkansas is $113.62 for physical therapy, occupational therapy and speech language therapy practices.

What is Ambetter's average Reimbursement per Visit in Arkansas?

The expected Reimbursement Per Visit in Arkansas is $213.74 for physical therapy, occupational therapy and speech language therapy practices.

Ambetter Reimbursement Rates in Arkansas

Ambetter Reimbursement Rates for Physical Therapy Practices in Arkansas

Physical Therapy Practice Benchmarks in Arkansas

Average Reimbursement Per Visit

While negotiated reimbursement rates between Ambetter and a healthcare provider are confidential, we can give you a general sense for Ambetter's reimbursement rates by looking at the aggregate data across StrataPT's customers.

$213.74

Latest

$240.96

Expected

$213.74

High

$275.31

Mean

$229.41

Low

$207.71

Median

$226.34

Recent Visit CPT Code Combinations

Data refreshed 21 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant) Units 7 units @ $44.44 average per unit Reimbursement $311.09 total reimbursement	7	$311.09	$44.44
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant) Units 6 units @ $43.86 average per unit Reimbursement $263.14 total reimbursement	6	$263.14	$43.86
97014 x 1 (No Assistant), 97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant), 97535 x 1 (No Assistant) Units 7 units @ $44.35 average per unit Reimbursement $310.43 total reimbursement	7	$310.43	$44.35
97110 x 3 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $41.53 average per unit Reimbursement $166.10 total reimbursement	4	$166.10	$41.53
95886 x 1 (No Assistant), 95910 x 1 (No Assistant) Units 2 units @ $222.94 average per unit Reimbursement $445.88 total reimbursement	2	$445.88	$222.94
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97140 x 2 (Assistant) Units 6 units @ $45.23 average per unit Reimbursement $271.36 total reimbursement	6	$271.36	$45.23
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $47.21 average per unit Reimbursement $188.83 total reimbursement	4	$188.83	$47.21
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant) Units 5 units @ $44.30 average per unit Reimbursement $221.50 total reimbursement	5	$221.50	$44.30
97014 x 1 (Assistant), 97110 x 3 (Assistant) Units 4 units @ $38.48 average per unit Reimbursement $153.92 total reimbursement	4	$153.92	$38.48
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant) Units 6 units @ $43.39 average per unit Reimbursement $260.37 total reimbursement	6	$260.37	$43.39
97014 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $40.72 average per unit Reimbursement $162.88 total reimbursement	4	$162.88	$40.72
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant) Units 4 units @ $35.37 average per unit Reimbursement $141.47 total reimbursement	4	$141.47	$35.37
97014 x 1 (Assistant), 97016 x 1 (Assistant), 97035 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 2 (Assistant), 97530 x 1 (Assistant) Units 8 units @ $37.04 average per unit Reimbursement $296.31 total reimbursement	8	$296.31	$37.04
97014 x 1 (No Assistant), 97110 x 3 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 6 units @ $42.45 average per unit Reimbursement $254.70 total reimbursement	6	$254.70	$42.45
97035 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant) Units 4 units @ $32.08 average per unit Reimbursement $128.30 total reimbursement	4	$128.30	$32.08
97014 x 1 (No Assistant), 97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 5 units @ $42.84 average per unit Reimbursement $214.21 total reimbursement	5	$214.21	$42.84
97014 x 1 (No Assistant), 97016 x 1 (No Assistant), 97110 x 2 (No Assistant), 97530 x 2 (No Assistant) Units 6 units @ $41.20 average per unit Reimbursement $247.19 total reimbursement	6	$247.19	$41.20
97014 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant) Units 5 units @ $43.15 average per unit Reimbursement $215.74 total reimbursement	5	$215.74	$43.15
97014 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant) Units 5 units @ $43.73 average per unit Reimbursement $218.63 total reimbursement	5	$218.63	$43.73
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant) Units 5 units @ $41.61 average per unit Reimbursement $208.03 total reimbursement	5	$208.03	$41.61
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 2 (Assistant) Units 5 units @ $42.60 average per unit Reimbursement $212.98 total reimbursement	5	$212.98	$42.60
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $36.34 average per unit Reimbursement $145.34 total reimbursement	4	$145.34	$36.34
97014 x 1 (No Assistant), 97110 x 3 (No Assistant), 97140 x 1 (No Assistant) Units 5 units @ $41.60 average per unit Reimbursement $208.01 total reimbursement	5	$208.01	$41.60
97014 x 1 (Assistant), 97016 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant) Units 7 units @ $40.21 average per unit Reimbursement $281.47 total reimbursement	7	$281.47	$40.21
97014 x 1 (Assistant), 97035 x 1 (Assistant), 97110 x 1 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $25.71 average per unit Reimbursement $102.82 total reimbursement	4	$102.82	$25.71
97014 x 1 (No Assistant), 97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 6 units @ $43.95 average per unit Reimbursement $263.73 total reimbursement	6	$263.73	$43.95
97014 x 1 (No Assistant), 97110 x 3 (No Assistant), 97112 x 2 (No Assistant) Units 6 units @ $41.51 average per unit Reimbursement $249.07 total reimbursement	6	$249.07	$41.51
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant) Units 5 units @ $47.78 average per unit Reimbursement $238.91 total reimbursement	5	$238.91	$47.78
97110 x 2 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant) Units 4 units @ $38.66 average per unit Reimbursement $154.65 total reimbursement	4	$154.65	$38.66
97110 x 3 (Assistant), 97530 x 2 (Assistant) Units 5 units @ $47.07 average per unit Reimbursement $235.33 total reimbursement	5	$235.33	$47.07
97110 x 2 (Assistant), 97530 x 2 (Assistant) Units 4 units @ $48.87 average per unit Reimbursement $195.48 total reimbursement	4	$195.48	$48.87
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant) Units 5 units @ $42.60 average per unit Reimbursement $213.01 total reimbursement	5	$213.01	$42.60
97014 x 1 (Assistant), 97110 x 3 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant) Units 6 units @ $42.19 average per unit Reimbursement $253.12 total reimbursement	6	$253.12	$42.19
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 2 (Assistant) Units 5 units @ $43.75 average per unit Reimbursement $218.76 total reimbursement	5	$218.76	$43.75
95886 x 2 (No Assistant), 95911 x 1 (No Assistant) Units 3 units @ $214.96 average per unit Reimbursement $644.89 total reimbursement	3	$644.89	$214.96
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $42.33 average per unit Reimbursement $169.33 total reimbursement	4	$169.33	$42.33
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant) Units 7 units @ $43.32 average per unit Reimbursement $303.25 total reimbursement	7	$303.25	$43.32

Top Healthcare Payers in Arkansas

Ambetter: $213.74
paid in 14 days
Corporate Benefit Services: $193.50
paid in 46 days
Public Employee Claims: $181.95
paid in 58 days
BCBS of Arkansas: $172.79
paid in 13 days
Wellcare: $140.65
paid in 84 days
Municipal Health Benefit Fund: $140.09
paid in 33 days
Tricare East: $128.24
paid in 15 days
VA Community Care: $115.94
paid in 7 days
Empower Healthcare Solutions: $114.96
paid in 7 days
Railroad Medicare: $111.86
paid in 16 days
Arkansas Total Care: $109.91
paid in 7 days
Medicare of Arkansas: $109.80
paid in 17 days
AllWell: $95.59
paid in 14 days
Aetna: $93.87
paid in 8 days
Summit Community Care: $86.72
paid in 38 days
Medicaid of Arkansas: $78.25
paid in 6 days
Humana: $77.62
paid in 9 days
Historical: $76.00
paid in NaN days
One Call Physical Therapy: $75.83
paid in 56 days
United Health Care: $68.63
paid in 19 days
UMR: $67.44
paid in 24 days
Melbourne School: $36.16
paid in NaN 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.

Frequently Asked Questions

Ambetter Reimbursement Rates in Arkansas

Ambetter Reimbursement Rates for Physical Therapy Practices in Arkansas

Average Reimbursement Per Visit

While negotiated reimbursement rates between Ambetter and a healthcare provider are confidential, we can give you a general sense for Ambetter's reimbursement rates by looking at the aggregate data across StrataPT's customers.

Recent Visit CPT Code Combinations

Data refreshed 21 hours ago

Top Healthcare Payers in Arkansas

Ambetter

Corporate Benefit Services

Public Employee Claims

BCBS of Arkansas

Wellcare

Municipal Health Benefit Fund

Tricare East

VA Community Care

Empower Healthcare Solutions

Railroad Medicare

Arkansas Total Care

Medicare of Arkansas

AllWell

Aetna

Summit Community Care

Medicaid of Arkansas

Humana

Historical

One Call Physical Therapy

United Health Care

UMR

Melbourne School

Related:

Frequently Asked Questions

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