HCPCS 97110

Other service (ClaimLight category; the code descriptor is not shown)

Other services Work RVU per service 0.45 (2020 fee schedule)

64,571
100th percentile among 6,116 codes billed · 2020
$960M
100th percentile among 6,116 codes billed · 2020
47.8M
100th percentile among 6,116 codes billed · 2020
463
95th percentile among 6,116 codes billed · 2020
2,315
94th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$500M$1.00B2020: $960M paid20202021: $1.14B paid20212022: $1.13B paid20222023: $1.15B paid20232024: $1.11B paid2024$1.11B$0$500M$1.00B2020: $960M paid20202021: $1.14B paid20212022: $1.13B paid20222023: $1.15B paid20232024: $1.11B paid2024$1.11B$0$500M$1.00B2020: $960M paid20202021: $1.14B paid20212022: $1.13B paid20222023: $1.15B paid20232024: $1.11B paid2024$1.11B$0$500M$1.00B2020: $960M paid20202021: $1.14B paid20212022: $1.13B paid20222023: $1.15B paid20232024: $1.11B paid2024$1.11B

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

050K2020: 65K providers20202021: 71K providers20212022: 76K providers20222023: 80K providers20232024: 83K providers202483K050K2020: 65K providers20202021: 71K providers20212022: 76K providers20222023: 80K providers20232024: 83K providers202483K050K2020: 65K providers20202021: 71K providers20212022: 76K providers20222023: 80K providers20232024: 83K providers202483K050K2020: 65K providers20202021: 71K providers20212022: 76K providers20222023: 80K providers20232024: 83K providers202483K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
202483,101$1,105,910,021-4%63,068,5304562,4050.45
202379,999$1,150,871,610+2%63,754,2224802,5240.45
202275,743$1,133,177,054-1%60,746,2144982,5160.45
202171,360$1,142,844,669+19%57,756,5915052,5100.45
202064,571$960,189,403first year in data47,795,5054632,3150.45

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
New York5,431$101,287,6454,658,6875752,536
California5,398$86,882,9084,090,2494412,534
Florida3,058$70,829,4593,528,3766843,748
New Jersey3,589$63,784,6672,992,1776062,294
Illinois3,478$46,626,3012,328,9384631,904
Texas2,485$40,738,9152,122,7524862,846
Pennsylvania2,689$40,674,4012,039,1595582,096
Virginia1,794$28,189,2131,413,6204842,504
Arizona1,693$27,933,3931,443,4685032,740
Maryland1,822$25,728,5651,237,9614671,999
North Carolina1,814$24,566,9171,275,8944452,135
South Carolina1,110$23,769,4771,258,9417873,337
Georgia1,754$23,609,4551,226,4414492,134
Michigan1,992$23,096,0321,177,7654101,639
Massachusetts1,727$20,694,062981,9493881,659

Not listed: 8 billers with an armed-forces or unknown state code (AA, AE, XX, ZZ); they are in the national totals.

Not listed: 3 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ6,566$122,942,8075,578,954578
Chicago-Naperville-Elgin, IL-IN2,938$36,956,2561,841,742442
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,198$35,689,0791,753,279618
Los Angeles-Long Beach-Anaheim, CA1,856$30,844,4551,436,756455
Miami-Fort Lauderdale-West Palm Beach, FL900$21,799,2341,071,001690
Washington-Arlington-Alexandria, DC-VA-MD-WV1,514$19,674,742936,883394
Phoenix-Mesa-Chandler, AZ1,214$19,242,030995,228509
Boston-Cambridge-Newton, MA-NH1,337$15,306,964724,667381
Detroit-Warren-Dearborn, MI1,092$13,649,369690,923451
Baltimore-Columbia-Towson, MD941$12,410,870600,577447
Atlanta-Sandy Springs-Roswell, GA1,124$12,113,219622,687389
Dallas-Fort Worth-Arlington, TX750$10,684,892549,379457
Seattle-Tacoma-Bellevue, WA1,098$8,167,594406,085240
Tampa-St. Petersburg-Clearwater, FL463$7,633,847387,369495
North Port-Bradenton-Sarasota, FL254$6,899,677350,017864

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 97110 nationally

Physical Therapist in Private Practice accounts for 91% of payment for 97110 nationally in 2020, across 21 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice56,14987%$869,110,60691%43,302,300771
Occupational Therapist in Private Practice5,8889.1%$63,779,5066.6%3,160,634537
Orthopedic Surgery9981.5%$11,907,0341.2%579,946581
Physical Medicine and Rehabilitation3820.59%$4,920,4100.51%231,270605
Nurse Practitioner1640.25%$1,917,2670.20%109,178666
Family Practice1640.25%$1,430,0260.15%69,853426
Internal Medicine1320.20%$1,387,5920.14%64,098486
Hand Surgery1210.19%$1,180,5900.12%56,897470
Interventional Pain Management460.07%$629,2510.07%30,892672
Sports Medicine480.07%$529,7670.06%25,094523
Podiatry960.15%$442,4950.05%19,644205
Neurology420.07%$410,1740.04%19,718469
General Practice270.04%$408,0580.04%19,085707
Pain Management350.05%$321,7370.03%14,724421
Physician Assistant440.07%$314,0010.03%17,612400

Not listed: 26 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2020.

Top billers of 97110 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations