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 Tennessee?

The average First Pass Clean Claim Rate in Tennessee is 93.70% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Tennessee?

The average Denial Rate in Tennessee is 11.04% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Tennessee?

The expected Reimbursement Per Visit in Tennessee is $109.78 for physical therapy, occupational therapy and speech language therapy practices.

What is Blue Care- Medicaid HMO's average Reimbursement per Visit in Tennessee?

The expected Reimbursement Per Visit in Tennessee is $114.70 for physical therapy, occupational therapy and speech language therapy practices.

Blue Care- Medicaid HMO Reimbursement Rates in Tennessee

Accepting Blue Care- Medicaid HMO in Tennessee shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Blue Care- Medicaid HMO Reimbursement Rates for Physical Therapy Practices in Tennessee

Physical Therapy Practice Benchmarks in Tennessee

Average Reimbursement Per Visit

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

$114.70

Latest

$114.70

Expected

$114.70

High

$133.81

Mean

$102.12

Low

$76.49

Median

$101.74

Recent Visit CPT Code Combinations

Data refreshed 22 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97014 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant) Units 5 units @ $17.99 average per unit Reimbursement $89.97 total reimbursement	5	$89.97	$17.99

Top Healthcare Payers in Tennessee

BCBS of Tennessee: $155.19
paid in 9 days
Align Networks (One Call PT): $130.91
paid in 33 days
Humana: $117.43
paid in 9 days
Blue Care- Medicaid HMO: $114.70
paid in 124 days
Medicare of Tennessee: $110.76
paid in 14 days
Amerigroup: $83.80
paid in 12 days
AMERICAN SPECIALTY HEALTH: $65.00
paid in 21 days
Historical: $65.00
paid in NaN days
United Health Care: $62.78
paid in 12 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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Blue Care- Medicaid HMO Reimbursement Rates in Tennessee

Blue Care- Medicaid HMO Reimbursement Rates for Physical Therapy Practices in Tennessee

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 22 hours ago

Top Healthcare Payers in Tennessee

BCBS of Tennessee

Align Networks (One Call PT)

Humana

Blue Care- Medicaid HMO

Medicare of Tennessee

Amerigroup

AMERICAN SPECIALTY HEALTH

Historical

United Health Care

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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