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 Michigan?

The average First Pass Clean Claim Rate in Michigan is 92.61% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Michigan?

The average Denial Rate in Michigan is 18.42% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Michigan?

The expected Reimbursement Per Visit in Michigan is $101.81 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Reimbursement Rates in Michigan

Accepting healthcare payers in Michigan 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 Michigan

Physical Therapy Practice Benchmarks in Michigan

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 5 hours ago

98.30%

Latest

92.61%

Average

98.60%

Max

74.70%

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 5 hours ago

12.90%

Latest

18.42%

Average

27.10%

Max

6.40%

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 5 hours ago

$101.81

Latest

$122.91

Expected

$101.81

High

$122.91

Mean

$103.50

Low

$89.10

Median

$103.49

Top Healthcare Payers in Michigan

BCBS of Michigan: $125.25
paid in 14 days
Priority Health: $113.38
paid in 15 days
VA Community Care: $100.91
paid in 6 days
Blue Cross Blue Shield of Michigan (Medicare Advantage): $97.23
paid in 18 days
Aetna: $97.19
paid in 11 days
Medicare of Michigan: $95.73
paid in 22 days
Blue Care Network: $93.70
paid in 25 days
Humana: $89.68
paid in 10 days
UHC: $84.07
paid in 40 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.

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

Healthcare Payer Reimbursement Rates in Michigan

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Michigan

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 5 hours ago

Top Healthcare Payers in Michigan

BCBS of Michigan

Priority Health

VA Community Care

Blue Cross Blue Shield of Michigan (Medicare Advantage)

Aetna

Medicare of Michigan

Blue Care Network

Humana

UHC

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Billing Evaluation

Frequently Asked Questions

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