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 Texas?

The average First Pass Clean Claim Rate in Texas is 96.53% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Texas?

The average Denial Rate in Texas is 9.65% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Texas?

The expected Reimbursement Per Visit in Texas is $95.34 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in Texas

Accepting healthcare payers in Texas 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 Texas

Physical Therapy Practice Benchmarks in Texas

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

95.10%

Latest

96.53%

Average

99.90%

Max

87.40%

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

0.60%

Latest

9.65%

Average

17.70%

Max

0.60%

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

$95.34

Latest

$101.38

Expected

$95.34

High

$119.20

Mean

$96.02

Low

$89.19

Median

$93.97

Top Healthcare Payers in Texas

BCBS of Texas: $128.32
paid in 20 days
Aetna: $111.38
paid in 11 days
Medicare: $98.96
paid in 15 days
WellMed: $98.90
paid in 16 days
Tricare East: $88.68
paid in 85 days
United Health Care: $83.08
paid in 46 days
AMERICAN SPECIALTY HEALTH: $74.30
paid in 26 days
Humana: $73.40
paid in 27 days
American Therapy Administrators - ATA: $9.54
paid in 74 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 Texas

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Texas

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 Texas

BCBS of Texas

Aetna

Medicare

WellMed

Tricare East

United Health Care

AMERICAN SPECIALTY HEALTH

Humana

American Therapy Administrators - ATA

Related:

Frequently Asked Questions

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Healthcare Payer Reimbursement Rates by State

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