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Medicare of South Carolina Reimbursement Rates

Accepting Medicare of South Carolina shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Medicare of South Carolina Reimbursement Rates for Physical Therapy Practices in South Carolina

Physical Therapy Practice Benchmarks in South Carolina

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare of South Carolina and a healthcare provider are confidential, we can give you a general sense for Medicare of South Carolina's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$105.48
Latest
$98.46
Expected
$105.48
High
$185.33
Mean
$104.87
Low
$96.93
Median
$102.62

Recent Visit CPT Code Combinations

Data refreshed 1 day ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $22.81 average per unit
Reimbursement
$91.24 total reimbursement
4$91.24$22.81
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $25.63 average per unit
Reimbursement
$102.52 total reimbursement
4$102.52$25.63
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $24.67 average per unit
Reimbursement
$98.66 total reimbursement
4$98.66$24.67
97110 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.24 average per unit
Reimbursement
$96.95 total reimbursement
4$96.95$24.24
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.04 average per unit
Reimbursement
$88.18 total reimbursement
4$88.18$22.04
92507 x 1 (No Assistant)
Units
1 units @ $71.75 average per unit
Reimbursement
$71.75 total reimbursement
1$71.75$71.75
97112 x 2 (Assistant), 97530 x 3 (Assistant)
Units
5 units @ $22.86 average per unit
Reimbursement
$114.31 total reimbursement
5$114.31$22.86
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.91 average per unit
Reimbursement
$95.62 total reimbursement
4$95.62$23.91
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.07 average per unit
Reimbursement
$88.30 total reimbursement
4$88.30$22.07
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $24.85 average per unit
Reimbursement
$124.27 total reimbursement
5$124.27$24.85
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $21.15 average per unit
Reimbursement
$84.61 total reimbursement
4$84.61$21.15
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $22.47 average per unit
Reimbursement
$112.34 total reimbursement
5$112.34$22.47
97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.31 average per unit
Reimbursement
$105.25 total reimbursement
4$105.25$26.31
97110 x 2 (No Assistant), 97112 x 2 (No Assistant)
Units
4 units @ $24.44 average per unit
Reimbursement
$97.76 total reimbursement
4$97.76$24.44
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $20.62 average per unit
Reimbursement
$82.49 total reimbursement
4$82.49$20.62
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $23.45 average per unit
Reimbursement
$70.35 total reimbursement
3$70.35$23.45
97110 x 2 (Assistant), 97112 x 2 (Assistant)
Units
4 units @ $21.44 average per unit
Reimbursement
$85.76 total reimbursement
4$85.76$21.44
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $23.38 average per unit
Reimbursement
$93.50 total reimbursement
4$93.50$23.38
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $21.90 average per unit
Reimbursement
$87.59 total reimbursement
4$87.59$21.90
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.76 average per unit
Reimbursement
$91.05 total reimbursement
4$91.05$22.76
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $24.78 average per unit
Reimbursement
$99.10 total reimbursement
4$99.10$24.78
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $21.48 average per unit
Reimbursement
$85.92 total reimbursement
4$85.92$21.48
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $25.63 average per unit
Reimbursement
$102.51 total reimbursement
4$102.51$25.63
97110 x 4 (No Assistant)
Units
4 units @ $22.68 average per unit
Reimbursement
$90.73 total reimbursement
4$90.73$22.68
97110 x 3 (No Assistant)
Units
3 units @ $23.37 average per unit
Reimbursement
$70.10 total reimbursement
3$70.10$23.37
97110 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $22.40 average per unit
Reimbursement
$89.59 total reimbursement
4$89.59$22.40
97110 x 2 (No Assistant), 97530 x 3 (No Assistant)
Units
5 units @ $24.64 average per unit
Reimbursement
$123.20 total reimbursement
5$123.20$24.64
97112 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $22.83 average per unit
Reimbursement
$91.31 total reimbursement
4$91.31$22.83
97110 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
2 units @ $27.39 average per unit
Reimbursement
$54.77 total reimbursement
2$54.77$27.39
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97750 x 1 (Assistant)
Units
4 units @ $22.50 average per unit
Reimbursement
$90.00 total reimbursement
4$90.00$22.50
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $24.79 average per unit
Reimbursement
$74.37 total reimbursement
3$74.37$24.79
97112 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $25.94 average per unit
Reimbursement
$103.75 total reimbursement
4$103.75$25.94
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $25.17 average per unit
Reimbursement
$100.69 total reimbursement
4$100.69$25.17
97110 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $25.33 average per unit
Reimbursement
$101.30 total reimbursement
4$101.30$25.33
97110 x 3 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $20.03 average per unit
Reimbursement
$80.11 total reimbursement
4$80.11$20.03
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $24.24 average per unit
Reimbursement
$96.95 total reimbursement
4$96.95$24.24
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $24.11 average per unit
Reimbursement
$72.33 total reimbursement
3$72.33$24.11
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), 97750 x 1 (Assistant)
Units
5 units @ $22.31 average per unit
Reimbursement
$111.57 total reimbursement
5$111.57$22.31
97112 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $23.94 average per unit
Reimbursement
$71.82 total reimbursement
3$71.82$23.94
97112 x 2 (Assistant), 97530 x 2 (Assistant), 97750 x 1 (Assistant)
Units
5 units @ $22.92 average per unit
Reimbursement
$114.58 total reimbursement
5$114.58$22.92
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $25.26 average per unit
Reimbursement
$101.06 total reimbursement
4$101.06$25.26
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $26.13 average per unit
Reimbursement
$78.38 total reimbursement
3$78.38$26.13
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $21.94 average per unit
Reimbursement
$65.81 total reimbursement
3$65.81$21.94
97110 x 3 (Assistant), 97112 x 1 (Assistant)
Units
4 units @ $20.92 average per unit
Reimbursement
$83.67 total reimbursement
4$83.67$20.92
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.84 average per unit
Reimbursement
$99.35 total reimbursement
4$99.35$24.84
97110 x 3 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $21.11 average per unit
Reimbursement
$84.45 total reimbursement
4$84.45$21.11
97110 x 3 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $24.42 average per unit
Reimbursement
$122.09 total reimbursement
5$122.09$24.42
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
3 units @ $46.25 average per unit
Reimbursement
$138.74 total reimbursement
3$138.74$46.25
97110 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $25.79 average per unit
Reimbursement
$77.38 total reimbursement
3$77.38$25.79
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $22.47 average per unit
Reimbursement
$89.89 total reimbursement
4$89.89$22.47
97110 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $24.96 average per unit
Reimbursement
$74.88 total reimbursement
3$74.88$24.96
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
4 units @ $39.83 average per unit
Reimbursement
$159.34 total reimbursement
4$159.34$39.83
97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $27.08 average per unit
Reimbursement
$81.26 total reimbursement
3$81.26$27.08
97110 x 2 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $20.65 average per unit
Reimbursement
$61.94 total reimbursement
3$61.94$20.65
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $23.58 average per unit
Reimbursement
$94.33 total reimbursement
4$94.33$23.58
97110 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $22.01 average per unit
Reimbursement
$88.03 total reimbursement
4$88.03$22.01
97110 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $23.08 average per unit
Reimbursement
$69.25 total reimbursement
3$69.25$23.08
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant)
Units
4 units @ $22.44 average per unit
Reimbursement
$89.75 total reimbursement
4$89.75$22.44
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.03 average per unit
Reimbursement
$88.12 total reimbursement
4$88.12$22.03
97112 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $22.52 average per unit
Reimbursement
$112.59 total reimbursement
5$112.59$22.52
97112 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.88 average per unit
Reimbursement
$99.52 total reimbursement
4$99.52$24.88
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
3 units @ $45.67 average per unit
Reimbursement
$137.01 total reimbursement
3$137.01$45.67
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.91 average per unit
Reimbursement
$99.64 total reimbursement
4$99.64$24.91
97530 x 4 (No Assistant)
Units
4 units @ $26.03 average per unit
Reimbursement
$104.10 total reimbursement
4$104.10$26.03
97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $23.20 average per unit
Reimbursement
$92.78 total reimbursement
4$92.78$23.20

Top Healthcare Payers in South Carolina

Cigna - RPN

$144.93

paid in 49 days
View recent CPT Code Combinations

BCBS of South Carolina

$109.29

paid in 15 days
View 27 recent CPT Code Combinations

Medicare of South Carolina

$105.48

paid in 14 days
View 65 recent CPT Code Combinations

Aetna

$94.98

paid in 8 days
View 22 recent CPT Code Combinations

Align Networks (One Call PT)

$94.85

paid in 45 days
View 1 recent CPT Code Combinations

MedRisk

$91.68

paid in 45 days
View recent CPT Code Combinations

United Health Care

$90.87

paid in 25 days
View 20 recent CPT Code Combinations

Humana

$89.99

paid in 12 days
View 17 recent CPT Code Combinations

Tricare East

$86.74

paid in 72 days
View 18 recent CPT Code Combinations

CPT copyright 2024 American Medical Association.

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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