California Medicare South Reimbursement Rates

Accepting California Medicare South shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

California Medicare South Reimbursement Rates for Physical Therapy Practices in California

Physical Therapy Practice Benchmarks in California

Average Reimbursement Per Visit

While negotiated reimbursement rates between California Medicare South and a healthcare provider are confidential, we can give you a general sense for California Medicare South's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$107.45
Latest
$82.43
Expected
$107.45
High
$377.91
Mean
$102.81
Low
$80.35
Median
$98.56

Recent Visit CPT Code Combinations

Data refreshed 23 hours ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 2 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $22.58 average per unit
Reimbursement
$67.73 total reimbursement
3$67.73$22.58
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $29.41 average per unit
Reimbursement
$117.62 total reimbursement
4$117.62$29.41
97112 x 1 (No Assistant), 97140 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $27.85 average per unit
Reimbursement
$111.40 total reimbursement
4$111.40$27.85
97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $26.15 average per unit
Reimbursement
$78.45 total reimbursement
3$78.45$26.15
97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $29.87 average per unit
Reimbursement
$89.61 total reimbursement
3$89.61$29.87
97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $30.73 average per unit
Reimbursement
$122.90 total reimbursement
4$122.90$30.73
97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $31.50 average per unit
Reimbursement
$94.49 total reimbursement
3$94.49$31.50
97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $31.20 average per unit
Reimbursement
$93.60 total reimbursement
3$93.60$31.20
97012 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $21.60 average per unit
Reimbursement
$64.81 total reimbursement
3$64.81$21.60
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $25.64 average per unit
Reimbursement
$76.91 total reimbursement
3$76.91$25.64
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $31.40 average per unit
Reimbursement
$125.61 total reimbursement
4$125.61$31.40
97112 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $27.73 average per unit
Reimbursement
$83.18 total reimbursement
3$83.18$27.73
97112 x 2 (No Assistant), 97116 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $27.51 average per unit
Reimbursement
$110.04 total reimbursement
4$110.04$27.51
97112 x 1 (No Assistant), 97163 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $54.10 average per unit
Reimbursement
$162.31 total reimbursement
3$162.31$54.10
97035 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.97 average per unit
Reimbursement
$99.88 total reimbursement
4$99.88$24.97
97110 x 1 (Assistant), 97112 x 2 (Assistant)
Units
3 units @ $25.41 average per unit
Reimbursement
$76.23 total reimbursement
3$76.23$25.41
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $19.51 average per unit
Reimbursement
$78.05 total reimbursement
4$78.05$19.51
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $28.27 average per unit
Reimbursement
$113.09 total reimbursement
4$113.09$28.27
97112 x 2 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $29.70 average per unit
Reimbursement
$118.80 total reimbursement
4$118.80$29.70
97112 x 2 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $26.80 average per unit
Reimbursement
$107.19 total reimbursement
4$107.19$26.80
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $29.27 average per unit
Reimbursement
$117.09 total reimbursement
4$117.09$29.27
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $29.58 average per unit
Reimbursement
$88.73 total reimbursement
3$88.73$29.58
97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $26.30 average per unit
Reimbursement
$78.89 total reimbursement
3$78.89$26.30
97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
3 units @ $20.95 average per unit
Reimbursement
$62.85 total reimbursement
3$62.85$20.95
97112 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $29.21 average per unit
Reimbursement
$116.84 total reimbursement
4$116.84$29.21
97110 x 2 (Assistant), 97112 x 1 (Assistant)
Units
3 units @ $24.46 average per unit
Reimbursement
$73.38 total reimbursement
3$73.38$24.46
97035 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $21.46 average per unit
Reimbursement
$64.39 total reimbursement
3$64.39$21.46

Top Healthcare Payers in California

California Medicare South

$107.45

paid in 14 days
View 27 recent CPT Code Combinations

MedRisk

$106.04

paid in 26 days
View 3 recent CPT Code Combinations

AMERICAN SPECIALTY HEALTH

$87.78

paid in 25 days
View 4 recent CPT Code Combinations

Blue Shield of California

$87.73

paid in 7 days
View 3 recent CPT Code Combinations

Aetna

$84.35

paid in 17 days
View 7 recent CPT Code Combinations

Anthem Blue Cross of California

$83.92

paid in 17 days
View 15 recent CPT Code Combinations

United Health Care

$80.49

paid in 15 days
View 8 recent CPT Code Combinations

Align Networks (One Call PT)

$78.13

paid in 25 days
View 4 recent CPT Code Combinations

CPT copyright 2023 American Medical Association.

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.

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