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 98.38% 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 6.35% 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 $95.42 for physical therapy, occupational therapy and speech language therapy practices.

What is BCBS of West Virginia's average Reimbursement per Visit in Virginia?

The expected Reimbursement Per Visit in Virginia is $158.77 for physical therapy, occupational therapy and speech language therapy practices.

#1 Ranked EMR and Billing System in
Outpatient Therapy & Rehab from KLAS Research

BCBS of West Virginia Reimbursement Rates

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

BCBS of West Virginia Reimbursement Rates for Physical Therapy Practices in Virginia

Physical Therapy Practice Benchmarks in Virginia

Average Reimbursement Per Visit

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

$158.77

Latest

$134.10

Expected

$158.77

High

$186.30

Mean

$156.57

Low

$134.10

Median

$157.28

Recent Visit CPT Code Combinations

Data refreshed 17 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97140 x 2 (No Assistant) Units 5 units @ $30.48 average per unit Reimbursement $152.40 total reimbursement	5	$152.40	$30.48
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 5 units @ $30.98 average per unit Reimbursement $154.90 total reimbursement	5	$154.90	$30.98
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $30.85 average per unit Reimbursement $123.39 total reimbursement	4	$123.39	$30.85
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 5 units @ $35.52 average per unit Reimbursement $177.61 total reimbursement	5	$177.61	$35.52
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 5 units @ $31.77 average per unit Reimbursement $158.84 total reimbursement	5	$158.84	$31.77
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 2 (Assistant) Units 4 units @ $29.19 average per unit Reimbursement $116.74 total reimbursement	4	$116.74	$29.19
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant) Units 4 units @ $29.77 average per unit Reimbursement $119.07 total reimbursement	4	$119.07	$29.77

Top Healthcare Payers in Virginia

BCBS of West Virginia: $158.77
paid in 23 days
Aetna Better Health of Virginia: $122.32
paid in 14 days
United Health Care: $98.01
paid in 14 days
VA Community Care: $93.49
paid in 6 days
MedRisk: $91.00
paid in 30 days
Anthem BCBS of Virginia: $89.21
paid in 11 days
Tricare East: $88.93
paid in 48 days
Aetna: $82.91
paid in 46 days
Carefirst BCBC - VA, DC, MD: $79.83
paid in 15 days
Medicare of Virginia: $79.79
paid in 19 days
AMERICAN SPECIALTY HEALTH: $76.08
paid in 26 days
Anthem BCBS Wisconsin: $69.55
paid in 14 days
Humana: $67.92
paid in 8 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

Book a Demo

Our team will guide you through our EMR and Billing Platform and show you how we can boost your reimbursement to 99.99%!

Book a Demo ROI Calculator

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Demo

No Software Fees Ever

U.S. Based Customer Support

BCBS of West Virginia Reimbursement Rates

BCBS of West Virginia Reimbursement Rates for Physical Therapy Practices in Virginia

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 17 hours ago

Top Healthcare Payers in Virginia

BCBS of West Virginia

Aetna Better Health of Virginia

United Health Care

VA Community Care

MedRisk

Anthem BCBS of Virginia

Tricare East

Aetna

Carefirst BCBC - VA, DC, MD

Medicare of Virginia

AMERICAN SPECIALTY HEALTH

Anthem BCBS Wisconsin

Humana

Related:

Frequently Asked Questions

Book a Demo

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice