Physical Therapy Practice Benchmarks in Massachusetts

Running a PT, OT or SLP practice in Massachusetts shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Operational Benchmarks for Physical Therapy Practices in Massachusetts

Average Days Until Documentation Completion

Across StrataPT's clients, this metric reflects the average number of days before a patient's notes are completed. StrataPT is then able to begin processing the claims.
Data refreshed 15 hours ago
11.15 days
Latest
6.89 days
Average
11.84 days
Max
1.70 days
Min

Payer Scenario Mix

Across StrataPT's clients, this reflects the various payer mixes we often see.
Data refreshed 15 hours ago

Average Units Per Visit

While every practice is different, we can give you a general sense for units per visit by looking at the aggregate data across StrataPT's customers.
Data refreshed 15 hours ago
3.538
Latest
3.459
Expected
3.538
High
3.613
Mean
3.479
Low
3.367
Median
3.491

Financial & RCM Benchmarks for Physical Therapy Practices in Massachusetts

Healthcare Payer Reimbursement Rates 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 15 hours ago
99.70%
Latest
97.87%
Average
99.80%
Max
92.60%
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 15 hours ago
1.90%
Latest
5.86%
Average
8.70%
Max
1.90%
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 15 hours ago
$81.23
Latest
$110.26
Expected
$81.23
High
$110.26
Mean
$84.13
Low
$78.23
Median
$83.30

Top Healthcare Payers in Massachusetts

Unicare

$119.08

paid in 34 days
View 3 recent CPT Code Combinations

Mass General Brigham Health Plan

$109.51

paid in 18 days
View 6 recent CPT Code Combinations

Harvard Pilgrim

$93.91

paid in 14 days
View 13 recent CPT Code Combinations

Medicare Massachusetts

$88.78

paid in 21 days
View 43 recent CPT Code Combinations

CPT copyright 2023 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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300
$100.00
70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,400.00 additional cash each month for your practice

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