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 Florida?

The average First Pass Clean Claim Rate in Florida is 97.98% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Florida?

The average Denial Rate in Florida is 6.17% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Florida?

The expected Reimbursement Per Visit in Florida is $96.70 for physical therapy, occupational therapy and speech language therapy practices.

What is Tricare East (Select)'s average Reimbursement per Visit in Florida?

The expected Reimbursement Per Visit in Florida is $75.27 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Benchmarks for Tricare East (Select) in Florida

Accepting Tricare East (Select) in Florida shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Tricare East (Select) Benchmarks for Physical Therapy Practices in Florida

Physical Therapy Practice Benchmarks in Florida

Average Reimbursement Per Visit

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

$75.27

Latest

$79.54

Expected

$75.27

High

$83.65

Mean

$71.86

Low

$57.97

Median

$72.43

Recent Visit CPT Code Combinations

Data refreshed 23 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97112 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $21.90 average per unit Reimbursement $65.69 total reimbursement	3	$65.69	$21.90
97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 3 units @ $22.56 average per unit Reimbursement $67.67 total reimbursement	3	$67.67	$22.56
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $21.04 average per unit Reimbursement $63.13 total reimbursement	3	$63.13	$21.04

Top Healthcare Payers in Florida

More Florida Healthcare Payer Benchmarks

Railroad Medicare: $164.76
paid in 14 days
Priority Health: $161.14
paid in 52 days
Aetna: $134.14
paid in 79 days
VA Community Care: $106.36
paid in 6 days
Florida Medicare: $104.53
paid in 15 days
Tricare: $82.44
paid in 11 days
Align Networks (One Call PT): $81.84
paid in 50 days
United Health Care: $78.53
paid in 46 days
BCBS (Out of Network): $77.31
paid in 11 days
Tricare East (Select): $75.27
paid in 5 days
UMR: $71.44
paid in 41 days
BCBS - FL: $70.75
paid in 9 days
MedRisk: $62.14
paid in 115 days
Health Network One Therapy Networks: $60.62
paid in 18 days
AMERICAN SPECIALTY HEALTH: $54.58
paid in 19 days
Sunshine Health: $53.53
paid in 8 days
Humana: $53.19
paid in 9 days
AARP Medicare: $50.00
paid in 25 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.

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Healthcare Payer Benchmarks for Tricare East (Select) in Florida

Tricare East (Select) Benchmarks for Physical Therapy Practices in Florida

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 23 hours ago

Top Healthcare Payers in Florida

Railroad Medicare

Priority Health

Aetna

VA Community Care

Florida Medicare

Tricare

Align Networks (One Call PT)

United Health Care

BCBS (Out of Network)

Tricare East (Select)

UMR

BCBS - FL

MedRisk

Health Network One Therapy Networks

AMERICAN SPECIALTY HEALTH

Sunshine Health

Humana

AARP Medicare

Related:

Frequently Asked Questions

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Healthcare Payer Benchmarks by State

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