Louisiana Physical Therapy Billing Benchmarks 2026

Method

• Source: de-identified claims, claim lines, payment history, follow-up actions and 835 ERA records Park Medical Billing processed for one outpatient physical therapy practice in Covington, Louisiana. Visits Jan 2–Sep 30, 2026; payments through Oct 8, 2026.
• First-pass clean claim rate: share of adjudicated claims with no claim-quality failure. A failure is a primary-payer denial for missing information, invalid diagnosis, procedure or modifier coding, bundling (inclusive), provider NPI or credentials, patient identification, duplicate submission, incorrect payer or timely filing; a rejected claim line; or a corrected claim. Denials for benefit limits, non-covered services, coverage, authorization, medical necessity, medical records and coordination of benefits do not count against it, because the claim itself was correct.
• Denial rate: share of claims fully denied by the primary payer. Partially denied claims and secondary-payer denials are excluded. The denial reasons chart uses the same claims.
• Average reimbursement per visit: insurance plus patient payments posted per visit, for visits with at least one payment. Weeks are by date of service and exclude the last six weeks, which are still collecting.
• Days to payment: median days from submission to first payment. Claim-rate weeks are grouped by submission date and exclude the last five weeks. Days to submission excludes values below 0 or above 120 days (data entry errors).
• CPT combinations use completed, paid claims with at least five occurrences; reimbursement is the median of insurance plus patient payments.