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 Massachusetts?

The average First Pass Clean Claim Rate in Massachusetts is 97.93% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Massachusetts?

The average Denial Rate in Massachusetts is 5.81% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Massachusetts?

The expected Reimbursement Per Visit in Massachusetts is $81.28 for physical therapy, occupational therapy and speech language therapy practices.

What is Harvard Pilgrim's average Reimbursement per Visit in Massachusetts?

The expected Reimbursement Per Visit in Massachusetts is $90.97 for physical therapy, occupational therapy and speech language therapy practices.

Harvard Pilgrim Reimbursement Rates in Massachusetts

Accepting Harvard Pilgrim in Massachusetts shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Harvard Pilgrim Reimbursement Rates for Physical Therapy Practices in Massachusetts

Physical Therapy Practice Benchmarks in Massachusetts

Average Reimbursement Per Visit

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

$90.97

Latest

$75.66

Expected

$90.97

High

$97.34

Mean

$79.73

Low

$56.97

Median

$78.86

Recent Visit CPT Code Combinations

Data refreshed 18 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $18.92 average per unit Reimbursement $75.66 total reimbursement	4	$75.66	$18.92
97110 x 1 (Assistant), 97110 x 1 (No Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $18.92 average per unit Reimbursement $75.66 total reimbursement	4	$75.66	$18.92
97110 x 1 (Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 3 units @ $22.70 average per unit Reimbursement $68.09 total reimbursement	3	$68.09	$22.70
97110 x 1 (No Assistant), 97161 x 1 (No Assistant) Units 2 units @ $62.72 average per unit Reimbursement $125.43 total reimbursement	2	$125.43	$62.72
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $18.92 average per unit Reimbursement $75.66 total reimbursement	4	$75.66	$18.92
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $24.27 average per unit Reimbursement $72.82 total reimbursement	3	$72.82	$24.27
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $18.92 average per unit Reimbursement $75.66 total reimbursement	4	$75.66	$18.92
97110 x 1 (Assistant), 97110 x 1 (No Assistant), 97140 x 1 (Assistant) Units 3 units @ $25.22 average per unit Reimbursement $75.66 total reimbursement	3	$75.66	$25.22
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $13.12 average per unit Reimbursement $39.35 total reimbursement	3	$39.35	$13.12
97110 x 1 (No Assistant), 97110 x 1 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $25.22 average per unit Reimbursement $75.66 total reimbursement	3	$75.66	$25.22
97110 x 1 (Assistant), 97140 x 1 (Assistant) Units 2 units @ $34.87 average per unit Reimbursement $69.73 total reimbursement	2	$69.73	$34.87
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 3 units @ $25.22 average per unit Reimbursement $75.66 total reimbursement	3	$75.66	$25.22

Top Healthcare Payers in Massachusetts

Unicare: $119.08
paid in 34 days
Mass General Brigham Health Plan: $109.51
paid in 18 days
Medicare Massachusetts: $92.38
paid in 16 days
Harvard Pilgrim: $90.97
paid in 14 days
BCBS of Massachusetts: $88.75
paid in 9 days
United Health Care: $82.64
paid in 33 days
Tufts: $76.41
paid in 31 days
Health Plans, Inc.: $74.67
paid in 99 days
Well Sense: $63.37
paid in 11 days
AMERICAN SPECIALTY HEALTH: $59.56
paid in 29 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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Harvard Pilgrim Reimbursement Rates in Massachusetts

Harvard Pilgrim Reimbursement Rates for Physical Therapy Practices in Massachusetts

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 18 hours ago

Top Healthcare Payers in Massachusetts

Unicare

Mass General Brigham Health Plan

Medicare Massachusetts

Harvard Pilgrim

BCBS of Massachusetts

United Health Care

Tufts

Health Plans, Inc.

Well Sense

AMERICAN SPECIALTY HEALTH

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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