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 97.11% 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 4.48% 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 $88.10 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Reimbursement Rates in California

Accepting healthcare payers in California 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 California

Physical Therapy Practice Benchmarks 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 17 hours ago

96.90%

Latest

97.11%

Average

99.70%

Max

92.40%

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 17 hours ago

2.30%

Latest

4.48%

Average

9.30%

Max

1.70%

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 17 hours ago

$88.10

Latest

$118.98

Expected

$88.10

High

$118.98

Mean

$93.39

Low

$81.65

Median

$93.24

Top Healthcare Payers in California

California Medicare South: $107.45
paid in 15 days
MedRisk: $106.04
paid in 26 days
Historical: $101.00
paid in NaN days
AMERICAN SPECIALTY HEALTH: $87.78
paid in 25 days
Blue Shield of California: $87.73
paid in 7 days
Aetna: $85.40
paid in 14 days
Anthem Blue Cross of California: $83.92
paid in 17 days
Align Networks (One Call PT): $81.53
paid in 25 days
United Health Care: $80.49
paid in 15 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

Book a Demo

Our team will walk you through our EMR and RCM products plus show you how we can increase your reimbursement to 99.99%!

Book a Demo ROI Calculator

Healthcare Payer Reimbursement Rates by State

See how Strata can grow your practice

Book a Demo ROI Calculator

Healthcare Payer Reimbursement Rates in California

Healthcare Payer Reimbursement Rates 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 17 hours ago

Top Healthcare Payers in California

California Medicare South

MedRisk

Historical

AMERICAN SPECIALTY HEALTH

Blue Shield of California

Aetna

Anthem Blue Cross of California

Align Networks (One Call PT)

United Health Care

Related:

Frequently Asked Questions

Book a Demo

Healthcare Payer Reimbursement Rates by State

See how Strata can grow your practice