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 New Mexico?

The average First Pass Clean Claim Rate in New Mexico is 90.35% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in New Mexico?

The average Denial Rate in New Mexico is 6.75% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in New Mexico?

The expected Reimbursement Per Visit in New Mexico is $103.71 for physical therapy, occupational therapy and speech language therapy practices.

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

The expected Reimbursement Per Visit in New Mexico is $136.84 for physical therapy, occupational therapy and speech language therapy practices.

BCBS of New Mexico Reimbursement Rates

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

BCBS of New Mexico Reimbursement Rates for Physical Therapy Practices in New Mexico

Physical Therapy Practice Benchmarks in New Mexico

Average Reimbursement Per Visit

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

$136.84

Latest

$94.19

Expected

$136.84

High

$144.87

Mean

$103.31

Low

$81.98

Median

$96.84

Recent Visit CPT Code Combinations

Data refreshed 10 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $27.69 average per unit Reimbursement $83.06 total reimbursement	3	$83.06	$27.69
97110 x 2 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $29.55 average per unit Reimbursement $118.18 total reimbursement	4	$118.18	$29.55
97110 x 3 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $27.36 average per unit Reimbursement $109.44 total reimbursement	4	$109.44	$27.36
97110 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $27.24 average per unit Reimbursement $81.72 total reimbursement	3	$81.72	$27.24
97110 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 3 units @ $25.87 average per unit Reimbursement $77.60 total reimbursement	3	$77.60	$25.87
97110 x 3 (No Assistant) Units 3 units @ $28.14 average per unit Reimbursement $84.43 total reimbursement	3	$84.43	$28.14
97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 2 units @ $21.43 average per unit Reimbursement $42.87 total reimbursement	2	$42.87	$21.43
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97162 x 1 (No Assistant) Units 3 units @ $42.25 average per unit Reimbursement $126.74 total reimbursement	3	$126.74	$42.25

Top Healthcare Payers in New Mexico

BCBS of New Mexico: $136.84
paid in 7 days
Presbyterian Centennial Care: $134.83
paid in 11 days
Medicare of New Mexico: $98.34
paid in 17 days
PRESBYTERIAN HEALTH PLAN: $85.36
paid in 43 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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