Medicare of New York Reimbursement Rates

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

Medicare of 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 Medicare of New York and a healthcare provider are confidential, we can give you a general sense for Medicare of New York's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$125.95
Latest
$120.71
Expected
$125.95
High
$352.46
Mean
$148.91
Low
$118.57
Median
$137.74

Recent Visit CPT Code Combinations

Data refreshed 20 hours ago
Codes and Units Units Total Reimbursement Average Per Unit
97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $27.63 average per unit
Reimbursement
$110.51 total reimbursement
4$110.51$27.63
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $26.62 average per unit
Reimbursement
$106.47 total reimbursement
4$106.47$26.62
97110 x 2 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $25.18 average per unit
Reimbursement
$100.73 total reimbursement
4$100.73$25.18
97530 x 4 (No Assistant)
Units
4 units @ $31.95 average per unit
Reimbursement
$127.78 total reimbursement
4$127.78$31.95
97110 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $31.62 average per unit
Reimbursement
$94.86 total reimbursement
3$94.86$31.62
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant)
Units
4 units @ $24.17 average per unit
Reimbursement
$96.69 total reimbursement
4$96.69$24.17
97112 x 2 (No Assistant), 97535 x 2 (No Assistant)
Units
4 units @ $29.64 average per unit
Reimbursement
$118.56 total reimbursement
4$118.56$29.64
97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $29.80 average per unit
Reimbursement
$119.19 total reimbursement
4$119.19$29.80
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97163 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $43.29 average per unit
Reimbursement
$216.43 total reimbursement
5$216.43$43.29
97112 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $27.94 average per unit
Reimbursement
$111.75 total reimbursement
4$111.75$27.94
97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $26.85 average per unit
Reimbursement
$107.40 total reimbursement
4$107.40$26.85
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $30.68 average per unit
Reimbursement
$122.70 total reimbursement
4$122.70$30.68
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97164 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $39.96 average per unit
Reimbursement
$159.83 total reimbursement
4$159.83$39.96
29530 x 1 (No Assistant), 97530 x 4 (No Assistant)
Units
5 units @ $32.22 average per unit
Reimbursement
$161.11 total reimbursement
5$161.11$32.22
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant)
Units
4 units @ $24.79 average per unit
Reimbursement
$99.17 total reimbursement
4$99.17$24.79
97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $32.72 average per unit
Reimbursement
$98.15 total reimbursement
3$98.15$32.72
97112 x 1 (No Assistant), 97116 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $28.45 average per unit
Reimbursement
$113.80 total reimbursement
4$113.80$28.45
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $29.29 average per unit
Reimbursement
$117.15 total reimbursement
4$117.15$29.29
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant)
Units
4 units @ $24.42 average per unit
Reimbursement
$97.70 total reimbursement
4$97.70$24.42
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97161 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $48.42 average per unit
Reimbursement
$193.66 total reimbursement
4$193.66$48.42
97112 x 2 (No Assistant), 97535 x 3 (No Assistant)
Units
5 units @ $28.98 average per unit
Reimbursement
$144.92 total reimbursement
5$144.92$28.98
97530 x 1 (No Assistant)
Units
1 units @ $41.52 average per unit
Reimbursement
$41.52 total reimbursement
1$41.52$41.52
97112 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $26.61 average per unit
Reimbursement
$106.42 total reimbursement
4$106.42$26.61
97112 x 2 (Assistant), 97116 x 2 (Assistant)
Units
4 units @ $24.75 average per unit
Reimbursement
$99.02 total reimbursement
4$99.02$24.75
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $28.82 average per unit
Reimbursement
$115.29 total reimbursement
4$115.29$28.82
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $30.11 average per unit
Reimbursement
$120.43 total reimbursement
4$120.43$30.11
97110 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
2 units @ $33.05 average per unit
Reimbursement
$66.10 total reimbursement
2$66.10$33.05
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97166 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $44.05 average per unit
Reimbursement
$220.24 total reimbursement
5$220.24$44.05
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $29.80 average per unit
Reimbursement
$119.19 total reimbursement
4$119.19$29.80
29540 x 1 (No Assistant), 97530 x 4 (No Assistant)
Units
5 units @ $31.95 average per unit
Reimbursement
$159.77 total reimbursement
5$159.77$31.95
97116 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $26.12 average per unit
Reimbursement
$104.49 total reimbursement
4$104.49$26.12
97112 x 1 (Assistant), 97535 x 1 (Assistant)
Units
2 units @ $28.28 average per unit
Reimbursement
$56.56 total reimbursement
2$56.56$28.28
97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
2 units @ $30.37 average per unit
Reimbursement
$60.74 total reimbursement
2$60.74$30.37
97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $30.55 average per unit
Reimbursement
$122.20 total reimbursement
4$122.20$30.55
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $25.93 average per unit
Reimbursement
$103.70 total reimbursement
4$103.70$25.93
97112 x 2 (Assistant), 97535 x 3 (Assistant)
Units
5 units @ $25.47 average per unit
Reimbursement
$127.36 total reimbursement
5$127.36$25.47
97112 x 3 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $26.93 average per unit
Reimbursement
$134.66 total reimbursement
5$134.66$26.93
97112 x 2 (Assistant), 97535 x 2 (Assistant)
Units
4 units @ $26.07 average per unit
Reimbursement
$104.29 total reimbursement
4$104.29$26.07
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $31.33 average per unit
Reimbursement
$94.00 total reimbursement
3$94.00$31.33
97530 x 4 (Assistant)
Units
4 units @ $28.13 average per unit
Reimbursement
$112.51 total reimbursement
4$112.51$28.13
97112 x 2 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $29.92 average per unit
Reimbursement
$119.70 total reimbursement
4$119.70$29.92
97112 x 1 (Assistant), 97116 x 2 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $25.79 average per unit
Reimbursement
$103.16 total reimbursement
4$103.16$25.79

Top Healthcare Payers in New York

Aetna

$135.80

paid in 11 days
View 28 recent CPT Code Combinations

Medicare of New York (Queens)

$132.29

paid in 17 days
View 5 recent CPT Code Combinations

1199 SEIU

$127.49

paid in 87 days
View 1 recent CPT Code Combinations

Medicare of New York

$125.95

paid in 17 days
View 42 recent CPT Code Combinations

Medicare of New York (Upstate)

$121.23

paid in 16 days
View 7 recent CPT Code Combinations

Univera

$86.10

paid in 21 days
View 3 recent CPT Code Combinations

Empire Plan NYSHIP

$79.00

paid in 27 days
View 3 recent CPT Code Combinations

United Health Care

$78.93

paid in 21 days
View 14 recent CPT Code Combinations

BCBS of Western NY (Highmark)

$78.65

paid in 12 days
View 21 recent CPT Code Combinations

BCBS New York

$65.02

paid in 35 days
View 11 recent CPT Code Combinations

Independent Health

$61.33

paid in 23 days
View 23 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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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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