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 Massachusetts?

The average First Pass Clean Claim Rate in Massachusetts is 98.18% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Massachusetts?

The average Denial Rate in Massachusetts is 6.26% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Massachusetts?

The expected Reimbursement Per Visit in Massachusetts is $82.27 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in Massachusetts

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

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Massachusetts

Physical Therapy Practice Benchmarks in Massachusetts

First Pass Clean Claim Rate

The percentage of claims which meet standards for correct coding, modifiers, structure, and formatting on the first attempt.

Data refreshed 10 hours ago

99.60%

Latest

98.18%

Average

99.80%

Max

93.00%

Min

Denial Rate

The percentage of claims which are eventually denied by insurers, for a variety of possible reasons, including: patient policy information, exhausted benefits, authorization, limits, or provider status.

Data refreshed 10 hours ago

0.20%

Latest

6.26%

Average

9.40%

Max

0.20%

Min

Average Reimbursement Per Visit

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

Data refreshed 10 hours ago

$82.27

Latest

$76.19

Expected

$82.27

High

$116.63

Mean

$85.31

Low

$76.19

Median

$84.32

Top Healthcare Payers in Massachusetts

Mass General Brigham Health Plan: $109.51
paid in 18 days
BCBS of Massachusetts: $91.29
paid in 9 days
Harvard Pilgrim: $90.97
paid in 14 days
Medicare Massachusetts: $89.78
paid in 17 days
United Health Care: $82.64
paid in 24 days
Tufts: $80.41
paid in 31 days
Well Sense: $63.37
paid in 11 days
AMERICAN SPECIALTY HEALTH: $59.56
paid in 29 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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Healthcare Payer Reimbursement Rates in Massachusetts

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Massachusetts

Average Reimbursement Per Visit

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

Data refreshed 10 hours ago

Top Healthcare Payers in Massachusetts

Mass General Brigham Health Plan

BCBS of Massachusetts

Harvard Pilgrim

Medicare Massachusetts

United Health Care

Tufts

Well Sense

AMERICAN SPECIALTY HEALTH

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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