Medicare Massachusetts Reimbursement Rates

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

Medicare Massachusetts Reimbursement Rates for Physical Therapy Practices in Massachusetts

Physical Therapy Practice Benchmarks in Massachusetts

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare Massachusetts and a healthcare provider are confidential, we can give you a general sense for Medicare Massachusetts's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$92.54
Latest
$87.34
Expected
$92.54
High
$742.12
Mean
$103.07
Low
$76.89
Median
$84.31

Recent Visit CPT Code Combinations

Data refreshed 1 day ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $23.12 average per unit
Reimbursement
$69.35 total reimbursement
3$69.35$23.12
97110 x 2 (Assistant), 97140 x 2 (Assistant)
Units
4 units @ $20.87 average per unit
Reimbursement
$83.48 total reimbursement
4$83.48$20.87
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $24.12 average per unit
Reimbursement
$96.47 total reimbursement
4$96.47$24.12
97110 x 4 (Assistant)
Units
4 units @ $20.60 average per unit
Reimbursement
$82.40 total reimbursement
4$82.40$20.60
97110 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
2 units @ $59.29 average per unit
Reimbursement
$118.59 total reimbursement
2$118.59$59.29
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $21.12 average per unit
Reimbursement
$84.47 total reimbursement
4$84.47$21.12
97110 x 3 (Assistant), 97112 x 1 (Assistant)
Units
4 units @ $22.29 average per unit
Reimbursement
$89.18 total reimbursement
4$89.18$22.29
97110 x 2 (No Assistant)
Units
2 units @ $25.11 average per unit
Reimbursement
$50.22 total reimbursement
2$50.22$25.11
97110 x 2 (Assistant), 97112 x 2 (Assistant)
Units
4 units @ $23.18 average per unit
Reimbursement
$92.71 total reimbursement
4$92.71$23.18
97110 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $23.93 average per unit
Reimbursement
$95.71 total reimbursement
4$95.71$23.93
97110 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $25.85 average per unit
Reimbursement
$77.54 total reimbursement
3$77.54$25.85
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $22.62 average per unit
Reimbursement
$90.50 total reimbursement
4$90.50$22.62
97110 x 1 (Assistant), 97140 x 1 (Assistant)
Units
2 units @ $21.32 average per unit
Reimbursement
$42.64 total reimbursement
2$42.64$21.32
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $21.98 average per unit
Reimbursement
$87.90 total reimbursement
4$87.90$21.98
97110 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
2 units @ $60.10 average per unit
Reimbursement
$120.20 total reimbursement
2$120.20$60.10
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $26.12 average per unit
Reimbursement
$78.35 total reimbursement
3$78.35$26.12
97140 x 3 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.29 average per unit
Reimbursement
$89.17 total reimbursement
4$89.17$22.29
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $25.66 average per unit
Reimbursement
$102.64 total reimbursement
4$102.64$25.66
97110 x 3 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.71 average per unit
Reimbursement
$90.84 total reimbursement
4$90.84$22.71
97110 x 1 (Assistant), 97140 x 3 (Assistant)
Units
4 units @ $20.59 average per unit
Reimbursement
$82.36 total reimbursement
4$82.36$20.59
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $22.61 average per unit
Reimbursement
$67.84 total reimbursement
3$67.84$22.61
97110 x 2 (Assistant), 97112 x 1 (Assistant)
Units
3 units @ $22.05 average per unit
Reimbursement
$66.14 total reimbursement
3$66.14$22.05
97110 x 2 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $20.52 average per unit
Reimbursement
$61.57 total reimbursement
3$61.57$20.52
97110 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
2 units @ $23.95 average per unit
Reimbursement
$47.90 total reimbursement
2$47.90$23.95
97110 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.91 average per unit
Reimbursement
$99.64 total reimbursement
4$99.64$24.91
97110 x 1 (Assistant), 97112 x 2 (Assistant)
Units
3 units @ $23.72 average per unit
Reimbursement
$71.16 total reimbursement
3$71.16$23.72
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $23.41 average per unit
Reimbursement
$70.23 total reimbursement
3$70.23$23.41
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $24.95 average per unit
Reimbursement
$74.86 total reimbursement
3$74.86$24.95
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.18 average per unit
Reimbursement
$88.70 total reimbursement
4$88.70$22.18
97110 x 2 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $23.03 average per unit
Reimbursement
$69.08 total reimbursement
3$69.08$23.03
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
3 units @ $45.37 average per unit
Reimbursement
$136.12 total reimbursement
3$136.12$45.37
97161 x 1 (No Assistant)
Units
1 units @ $96.72 average per unit
Reimbursement
$96.72 total reimbursement
1$96.72$96.72
97140 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
2 units @ $59.93 average per unit
Reimbursement
$119.86 total reimbursement
2$119.86$59.93
97110 x 3 (No Assistant)
Units
3 units @ $23.95 average per unit
Reimbursement
$71.85 total reimbursement
3$71.85$23.95
97112 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $25.44 average per unit
Reimbursement
$101.74 total reimbursement
4$101.74$25.44
97110 x 4 (No Assistant)
Units
4 units @ $23.19 average per unit
Reimbursement
$92.75 total reimbursement
4$92.75$23.19
97110 x 3 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $20.03 average per unit
Reimbursement
$80.11 total reimbursement
4$80.11$20.03
97110 x 2 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $24.74 average per unit
Reimbursement
$98.95 total reimbursement
4$98.95$24.74
97110 x 3 (Assistant)
Units
3 units @ $20.69 average per unit
Reimbursement
$62.07 total reimbursement
3$62.07$20.69
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.64 average per unit
Reimbursement
$98.57 total reimbursement
4$98.57$24.64

Top Healthcare Payers in Massachusetts

Unicare

$119.08

paid in 34 days
View 1 recent CPT Code Combinations

Mass General Brigham Health Plan

$109.51

paid in 18 days
View 5 recent CPT Code Combinations

Medicare Massachusetts

$92.54

paid in 18 days
View 40 recent CPT Code Combinations

Harvard Pilgrim

$90.97

paid in 14 days
View 12 recent CPT Code Combinations

BCBS of Massachusetts

$88.33

paid in 9 days
View 39 recent CPT Code Combinations

United Health Care

$82.64

paid in 47 days
View 14 recent CPT Code Combinations

Tufts

$77.36

paid in 17 days
View 10 recent CPT Code Combinations

Health Plans, Inc.

$74.67

paid in 93 days
View 2 recent CPT Code Combinations

Well Sense

$63.37

paid in 11 days
View 8 recent CPT Code Combinations

American Specialty Health

$59.56

paid in 29 days
View 9 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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300
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70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,400.00 additional cash each month for your practice

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