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 York?

The average First Pass Clean Claim Rate in New York is 95.83% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in New York?

The average Denial Rate in New York is 11.69% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $94.12 for physical therapy, occupational therapy and speech language therapy practices.

Healthcare Payer Reimbursement Rates in New York

Accepting healthcare payers in New York 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 York

Physical Therapy Practice Benchmarks in New York

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

98.80%

Latest

95.83%

Average

99.70%

Max

89.00%

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

4.20%

Latest

11.69%

Average

16.80%

Max

4.20%

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

$94.12

Latest

$117.71

Expected

$94.12

High

$123.88

Mean

$96.98

Low

$86.30

Median

$95.73

Top Healthcare Payers in New York

Aetna: $135.80
paid in 7 days
1199 SEIU: $132.94
paid in 87 days
Medicare of New York: $124.63
paid in 16 days
Medicare of New York (Upstate): $121.23
paid in 17 days
Medicare of New York (Queens): $117.62
paid in 17 days
Univera: $86.10
paid in 21 days
Empire Plan NYSHIP: $80.46
paid in 12 days
BCBS of Western NY (Highmark): $79.13
paid in 12 days
United Health Care: $78.93
paid in 21 days
Historical: $66.14
paid in NaN days
Independent Health: $61.33
paid in 22 days
BCBS New York: $59.92
paid in 35 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.

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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Healthcare Payer Reimbursement Rates in New York

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in New York

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

Top Healthcare Payers in New York

Aetna

1199 SEIU

Medicare of New York

Medicare of New York (Upstate)

Medicare of New York (Queens)

Univera

Empire Plan NYSHIP

BCBS of Western NY (Highmark)

United Health Care

Historical

Independent Health

BCBS New York

Related:

Frequently Asked Questions

Book a Demo

Healthcare Payer Reimbursement Rates by State

See how Strata can grow your practice