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 Montana?

The average First Pass Clean Claim Rate in Montana is 97.92% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Montana?

The average Denial Rate in Montana is 5.07% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Montana?

The expected Reimbursement Per Visit in Montana is $100.14 for physical therapy, occupational therapy and speech language therapy practices.

What is BCBS of Montana's average Reimbursement per Visit in Montana?

The expected Reimbursement Per Visit in Montana is $122.91 for physical therapy, occupational therapy and speech language therapy practices.

BCBS of Montana Reimbursement Rates

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

BCBS of Montana Reimbursement Rates for Physical Therapy Practices in Montana

Physical Therapy Practice Benchmarks in Montana

Average Reimbursement Per Visit

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

$122.91

Latest

$128.25

Expected

$122.91

High

$160.57

Mean

$133.06

Low

$113.63

Median

$131.14

Recent Visit CPT Code Combinations

Data refreshed 16 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97014 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $34.24 average per unit Reimbursement $102.72 total reimbursement	3	$102.72	$34.24
97035 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $34.31 average per unit Reimbursement $102.92 total reimbursement	3	$102.92	$34.31
97010 x 1 (No Assistant), 97014 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $32.05 average per unit Reimbursement $128.20 total reimbursement	4	$128.20	$32.05
97035 x 1 (No Assistant), 97110 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $37.38 average per unit Reimbursement $149.54 total reimbursement	4	$149.54	$37.38
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant) Units 3 units @ $80.39 average per unit Reimbursement $241.18 total reimbursement	3	$241.18	$80.39
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $46.38 average per unit Reimbursement $185.51 total reimbursement	4	$185.51	$46.38
97110 x 1 (Assistant), 97140 x 2 (Assistant) Units 3 units @ $41.65 average per unit Reimbursement $124.95 total reimbursement	3	$124.95	$41.65
97110 x 2 (No Assistant), 97112 x 1 (No Assistant) Units 3 units @ $46.16 average per unit Reimbursement $138.49 total reimbursement	3	$138.49	$46.16
97110 x 2 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $42.23 average per unit Reimbursement $168.94 total reimbursement	4	$168.94	$42.23
97035 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 2 units @ $29.73 average per unit Reimbursement $59.45 total reimbursement	2	$59.45	$29.73
97010 x 1 (Assistant), 97014 x 1 (Assistant), 97110 x 1 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $25.73 average per unit Reimbursement $102.90 total reimbursement	4	$102.90	$25.73
97110 x 2 (No Assistant) Units 2 units @ $43.83 average per unit Reimbursement $87.66 total reimbursement	2	$87.66	$43.83
97035 x 1 (Assistant), 97110 x 1 (Assistant), 97140 x 2 (Assistant) Units 4 units @ $36.50 average per unit Reimbursement $145.98 total reimbursement	4	$145.98	$36.50
97110 x 2 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $42.79 average per unit Reimbursement $128.37 total reimbursement	3	$128.37	$42.79
97110 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $42.82 average per unit Reimbursement $128.46 total reimbursement	3	$128.46	$42.82
97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 2 units @ $42.22 average per unit Reimbursement $84.44 total reimbursement	2	$84.44	$42.22
97110 x 1 (No Assistant), 97112 x 1 (No Assistant) Units 2 units @ $47.24 average per unit Reimbursement $94.48 total reimbursement	2	$94.48	$47.24
97014 x 1 (No Assistant), 97110 x 2 (No Assistant) Units 3 units @ $35.48 average per unit Reimbursement $106.43 total reimbursement	3	$106.43	$35.48
97014 x 1 (Assistant), 97110 x 1 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $34.07 average per unit Reimbursement $102.22 total reimbursement	3	$102.22	$34.07
97110 x 3 (No Assistant) Units 3 units @ $43.22 average per unit Reimbursement $129.67 total reimbursement	3	$129.67	$43.22
97110 x 1 (No Assistant), 97161 x 1 (No Assistant) Units 2 units @ $98.37 average per unit Reimbursement $196.74 total reimbursement	2	$196.74	$98.37

Top Healthcare Payers in Montana

Montana State Fund: $186.68
paid in 34 days
BCBS of Montana: $122.91
paid in 19 days
TriWest Healthcare Alliance (Region 4): $107.37
paid in 13 days
Medicare of Montana: $85.07
paid in 14 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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