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 95.60% 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 11.33% 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 $94.07 for physical therapy, occupational therapy and speech language therapy practices.

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

The expected Reimbursement Per Visit in New York is $65.02 for physical therapy, occupational therapy and speech language therapy practices.

BCBS New York Reimbursement Rates

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

BCBS New York Reimbursement Rates for Physical Therapy Practices in New York

Physical Therapy Practice Benchmarks in New York

Average Reimbursement Per Visit

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

$65.02

Latest

$77.21

Expected

$65.02

High

$135.50

Mean

$85.86

Low

$54.89

Median

$80.99

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $16.71 average per unit Reimbursement $66.84 total reimbursement	4	$66.84	$16.71
29530 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $21.75 average per unit Reimbursement $87.01 total reimbursement	4	$87.01	$21.75
97014 x 1 (No Assistant), 97110 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $15.18 average per unit Reimbursement $60.71 total reimbursement	4	$60.71	$15.18
97112 x 2 (Assistant), 97530 x 2 (Assistant) Units 4 units @ $22.41 average per unit Reimbursement $89.64 total reimbursement	4	$89.64	$22.41
29540 x 1 (No Assistant), 97110 x 2 (No Assistant), 97112 x 1 (No Assistant) Units 4 units @ $21.39 average per unit Reimbursement $85.57 total reimbursement	4	$85.57	$21.39
97161 x 1 (No Assistant) Units 1 units @ $61.43 average per unit Reimbursement $61.43 total reimbursement	1	$61.43	$61.43
29530 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $21.75 average per unit Reimbursement $87.01 total reimbursement	4	$87.01	$21.75
29530 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $21.75 average per unit Reimbursement $87.01 total reimbursement	4	$87.01	$21.75
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97164 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $16.34 average per unit Reimbursement $65.38 total reimbursement	4	$65.38	$16.34
29200 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 5 units @ $17.97 average per unit Reimbursement $89.84 total reimbursement	5	$89.84	$17.97
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97140 x 2 (No Assistant), 97530 x 2 (No Assistant) Units 8 units @ $41.34 average per unit Reimbursement $330.75 total reimbursement	8	$330.75	$41.34

Top Healthcare Payers in New York

Aetna: $135.80
paid in 9 days
Medicare of New York (Queens): $132.29
paid in 17 days
1199 SEIU: $127.49
paid in 87 days
Medicare of New York: $125.95
paid in 17 days
Medicare of New York (Upstate): $121.23
paid in 16 days
Univera: $86.10
paid in 21 days
BCBS of Western NY (Highmark): $82.12
paid in 12 days
Empire Plan NYSHIP: $79.00
paid in 27 days
United Health Care: $78.93
paid in 21 days
BCBS New York: $65.02
paid in 35 days
Independent Health: $61.33
paid in 23 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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BCBS New York Reimbursement Rates

BCBS New York Reimbursement Rates for Physical Therapy Practices in New York

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 1 day ago

Top Healthcare Payers in New York

Aetna

Medicare of New York (Queens)

1199 SEIU

Medicare of New York

Medicare of New York (Upstate)

Univera

BCBS of Western NY (Highmark)

Empire Plan NYSHIP

United Health Care

BCBS New York

Independent Health

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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