Healthcare Payer Reimbursement Rates in New Jersey

Accepting healthcare payers in New Jersey 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 New Jersey

Physical Therapy Practice Benchmarks in New Jersey

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 15 hours ago
99.60%
Latest
97.81%
Average
99.70%
Max
89.60%
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 15 hours ago
4.50%
Latest
5.98%
Average
11.50%
Max
1.40%
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 15 hours ago
$81.58
Latest
$100.99
Expected
$81.58
High
$100.99
Mean
$79.93
Low
$71.87
Median
$79.38

Top Healthcare Payers in New Jersey

Medicare of New York

$116.31

paid in 16 days
View 10 recent CPT Code Combinations

AMERICAN SPECIALTY HEALTH

$110.65

paid in 23 days
View 6 recent CPT Code Combinations

Align Networks (One Call PT)

$93.20

paid in 52 days
View 2 recent CPT Code Combinations

Aetna

$92.72

paid in 10 days
View 14 recent CPT Code Combinations

BCBS of New Jersey

$85.80

paid in 28 days
View 30 recent CPT Code Combinations

Medicare of New Jersey

$85.18

paid in 17 days
View 17 recent CPT Code Combinations

MedRisk

$78.33

paid in 55 days
View 5 recent CPT Code Combinations

United Health Care

$72.44

paid in 16 days
View 11 recent CPT Code Combinations

Horizon NJ Health

$35.00

paid in 18 days
View 5 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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Frequently Asked Questions

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Our team will walk you through our EMR and RCM products plus show you how we can increase your reimbursement to 99.99%!

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300
$100.00
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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