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 South Carolina?

The average First Pass Clean Claim Rate in South Carolina is 97.74% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in South Carolina?

The average Denial Rate in South Carolina is 8.77% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in South Carolina?

The expected Reimbursement Per Visit in South Carolina is $98.54 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in South Carolina

Accepting healthcare payers in South Carolina 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 South Carolina

Physical Therapy Practice Benchmarks in South Carolina

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

99.70%

Latest

97.74%

Average

99.80%

Max

84.30%

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

0.10%

Latest

8.77%

Average

18.80%

Max

0.10%

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

$98.54

Latest

$111.56

Expected

$98.54

High

$175.93

Mean

$101.38

Low

$93.88

Median

$97.42

Top Healthcare Payers in South Carolina

Cigna - RPN: $144.93
paid in 49 days
BCBS of South Carolina: $109.29
paid in 13 days
Medicare of South Carolina: $106.39
paid in 13 days
Tricare East: $100.68
paid in 46 days
Humana: $89.99
paid in 12 days
Aetna: $88.73
paid in 12 days
United Health Care: $80.75
paid in 21 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 South Carolina

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in South Carolina

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 South Carolina

Cigna - RPN

BCBS of South Carolina

Medicare of South Carolina

Tricare East

Humana

Aetna

United Health Care

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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