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 Ohio?

The average First Pass Clean Claim Rate in Ohio is 97.06% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Ohio?

The average Denial Rate in Ohio is 5.32% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Ohio?

The expected Reimbursement Per Visit in Ohio is $66.27 for physical therapy, occupational therapy and speech language therapy practices.

What is Aetna's average Reimbursement per Visit in Ohio?

The expected Reimbursement Per Visit in Ohio is $56.37 for physical therapy, occupational therapy and speech language therapy practices.

Aetna Reimbursement Rates in Ohio

Accepting Aetna in Ohio shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Aetna Reimbursement Rates for Physical Therapy Practices in Ohio

Physical Therapy Practice Benchmarks in Ohio

Average Reimbursement Per Visit

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

$56.37

Latest

$61.93

Expected

$56.37

High

$69.46

Mean

$61.56

Low

$53.27

Median

$61.58

Recent Visit CPT Code Combinations

Data refreshed 23 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97035 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $15.56 average per unit Reimbursement $62.26 total reimbursement	4	$62.26	$15.56
97110 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 3 units @ $19.89 average per unit Reimbursement $59.67 total reimbursement	3	$59.67	$19.89
97110 x 2 (Assistant), 97530 x 1 (Assistant) Units 3 units @ $19.03 average per unit Reimbursement $57.08 total reimbursement	3	$57.08	$19.03
97035 x 1 (No Assistant), 97110 x 2 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $17.02 average per unit Reimbursement $68.09 total reimbursement	4	$68.09	$17.02
97110 x 1 (No Assistant), 97161 x 1 (No Assistant) Units 2 units @ $50.24 average per unit Reimbursement $100.48 total reimbursement	2	$100.48	$50.24
97110 x 2 (Assistant), 97140 x 1 (Assistant) Units 3 units @ $16.51 average per unit Reimbursement $49.52 total reimbursement	3	$49.52	$16.51
97035 x 1 (Assistant), 97110 x 2 (Assistant) Units 3 units @ $13.18 average per unit Reimbursement $39.54 total reimbursement	3	$39.54	$13.18
97035 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $13.87 average per unit Reimbursement $55.49 total reimbursement	4	$55.49	$13.87

Top Healthcare Payers in Ohio

BCBS of Ohio: $64.18
paid in 9 days
Medicare of Ohio: $58.72
paid in 17 days
Aetna: $56.37
paid in 7 days
United Health Care: $55.00
paid in 14 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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