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 Nevada?

The average First Pass Clean Claim Rate in Nevada is 94.60% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Nevada?

The average Denial Rate in Nevada is 7.76% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Nevada?

The expected Reimbursement Per Visit in Nevada is $92.77 for physical therapy, occupational therapy and speech language therapy practices.

What is Blue Shield of California's average Reimbursement per Visit in Nevada?

The expected Reimbursement Per Visit in Nevada is $106.58 for physical therapy, occupational therapy and speech language therapy practices.

Blue Shield of California Reimbursement Rates in Nevada

Accepting Blue Shield of California in Nevada shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Blue Shield of California Reimbursement Rates for Physical Therapy Practices in Nevada

Physical Therapy Practice Benchmarks in Nevada

Average Reimbursement Per Visit

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

$106.58

Latest

$81.44

Expected

$106.58

High

$120.38

Mean

$90.23

Low

$72.41

Median

$87.58

Recent Visit CPT Code Combinations

Data refreshed 5 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 3 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $21.41 average per unit Reimbursement $85.64 total reimbursement	4	$85.64	$21.41
97110 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $24.45 average per unit Reimbursement $73.36 total reimbursement	3	$73.36	$24.45
97110 x 3 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $20.88 average per unit Reimbursement $83.50 total reimbursement	4	$83.50	$20.88
97110 x 3 (No Assistant) Units 3 units @ $24.85 average per unit Reimbursement $74.54 total reimbursement	3	$74.54	$24.85
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $21.85 average per unit Reimbursement $87.42 total reimbursement	4	$87.42	$21.85
97110 x 2 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $21.95 average per unit Reimbursement $87.79 total reimbursement	4	$87.79	$21.95
97110 x 2 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $22.81 average per unit Reimbursement $68.44 total reimbursement	3	$68.44	$22.81
97110 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 3 units @ $24.84 average per unit Reimbursement $74.53 total reimbursement	3	$74.53	$24.84

Top Healthcare Payers in Nevada

Kaiser Permanente (Northern CA): $124.62
paid in 244 days
Central CA Alliance for Health (CCAH): $112.94
paid in 30 days
Blue Shield of California: $106.58
paid in 9 days
Medicare of California (Northern): $99.16
paid in 15 days
MedRisk: $97.95
paid in 57 days
Medicare of Nevada: $96.57
paid in 16 days
Anthem Blue Cross of California: $92.90
paid in 10 days
Aetna: $91.99
paid in 126 days
TriWest Healthcare Alliance (Region 4): $91.46
paid in 7 days
Dignity (DHMSO): $82.83
paid in 26 days
Align Networks (One Call PT): $82.46
paid in 56 days
Prominence Health Plan of NV: $81.99
paid in 19 days
PhysNet: $58.45
paid in 82 days
BCBS of Nevada: $55.00
paid in 42 days
United Health Care: $52.08
paid in 23 days
UMR: $46.43
paid in 21 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 Reimbursement Rates by State

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Blue Shield of California Reimbursement Rates in Nevada

Blue Shield of California Reimbursement Rates for Physical Therapy Practices in Nevada

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 5 hours ago

Top Healthcare Payers in Nevada

Kaiser Permanente (Northern CA)

Central CA Alliance for Health (CCAH)

Blue Shield of California

Medicare of California (Northern)

MedRisk

Medicare of Nevada

Anthem Blue Cross of California

Aetna

TriWest Healthcare Alliance (Region 4)

Dignity (DHMSO)

Align Networks (One Call PT)

Prominence Health Plan of NV

PhysNet

BCBS of Nevada

United Health Care

UMR

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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