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 Virginia?

The average First Pass Clean Claim Rate in Virginia is 98.50% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Virginia?

The average Denial Rate in Virginia is 5.93% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Virginia?

The expected Reimbursement Per Visit in Virginia is $87.60 for physical therapy, occupational therapy and speech language therapy practices.

What is MedRisk's average Reimbursement per Visit in Virginia?

The expected Reimbursement Per Visit in Virginia is $65.00 for physical therapy, occupational therapy and speech language therapy practices.

MedRisk Reimbursement Rates in Virginia

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

MedRisk Reimbursement Rates for Physical Therapy Practices in Virginia

Physical Therapy Practice Benchmarks in Virginia

Average Reimbursement Per Visit

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

$65.00

Latest

$65.00

Expected

$65.00

High

$119.17

Mean

$77.61

Low

$65.00

Median

$73.13

Recent Visit CPT Code Combinations

Data refreshed 16 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97016 x 1 (No Assistant), 97110 x 3 (No Assistant) Units 4 units @ $17.52 average per unit Reimbursement $70.08 total reimbursement	4	$70.08	$17.52
97032 x 1 (No Assistant), 97110 x 3 (No Assistant) Units 4 units @ $16.25 average per unit Reimbursement $65.00 total reimbursement	4	$65.00	$16.25
97016 x 1 (Assistant), 97110 x 3 (Assistant) Units 4 units @ $17.66 average per unit Reimbursement $70.65 total reimbursement	4	$70.65	$17.66

Top Healthcare Payers in Virginia

Aetna Better Health of Virginia: $122.32
paid in 12 days
United Health Care: $98.01
paid in 12 days
Aetna: $90.66
paid in 15 days
Anthem BCBS of Virginia: $86.84
paid in 11 days
VA Community Care: $85.19
paid in 7 days
Carefirst BCBC - VA, DC, MD: $79.83
paid in 10 days
Medicare Virginia: $79.79
paid in 29 days
Tricare East: $75.27
paid in 7 days
AMERICAN SPECIALTY HEALTH: $69.59
paid in 18 days
Anthem BCBS Wisconsin: $69.55
paid in 9 days
MedRisk: $65.00
paid in 27 days
Humana: $63.03
paid in 10 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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MedRisk Reimbursement Rates in Virginia

MedRisk Reimbursement Rates for Physical Therapy Practices in Virginia

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 16 hours ago

Top Healthcare Payers in Virginia

Aetna Better Health of Virginia

United Health Care

Aetna

Anthem BCBS of Virginia

VA Community Care

Carefirst BCBC - VA, DC, MD

Medicare Virginia

Tricare East

AMERICAN SPECIALTY HEALTH

Anthem BCBS Wisconsin

MedRisk

Humana

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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