HCPCS 97110

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

Other services Work RVU per service 0.45 (2021 fee schedule)

71,360
100th percentile among 6,253 codes billed · 2021
$1.14B
100th percentile among 6,253 codes billed · 2021
57.8M
100th percentile among 6,253 codes billed · 2021
505
95th percentile among 6,253 codes billed · 2021
2,510
94th percentile among 6,253 codes billed · 2021
+19.0%
Medicare payment on the code vs 2020; billers +10.5% · 2021

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 York5,935$128,052,4615,937,8776732,917
California5,985$109,244,2855,214,3585042,753
Florida3,379$82,356,2934,178,8227183,911
New Jersey3,913$81,438,1323,884,5537092,698
Illinois3,796$55,404,9692,817,5555092,088
Pennsylvania3,018$49,478,1252,528,1756142,326
Texas2,916$48,522,3612,563,7285022,923
Virginia1,959$32,873,9961,676,0215302,618
Maryland2,012$31,590,2571,540,9145342,179
Arizona1,769$29,576,7111,561,1625232,847
Massachusetts1,877$27,520,1811,322,6124882,023
North Carolina2,097$27,484,9941,454,0484472,029
South Carolina1,222$27,462,2821,478,2408093,546
Georgia1,989$27,167,1231,449,4294902,089
Michigan2,254$27,063,9111,408,0724501,725

Not listed: 10 billers with an armed-forces or unknown state code (AA, AE, AP, XX, ZZ); they are in the national totals.

Not listed: 2 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ7,254$159,700,1177,338,349684
Chicago-Naperville-Elgin, IL-IN3,186$44,241,3372,242,502481
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,390$42,950,7982,146,029686
Los Angeles-Long Beach-Anaheim, CA2,074$40,552,5531,918,725531
Miami-Fort Lauderdale-West Palm Beach, FL963$26,658,5951,332,988770
Washington-Arlington-Alexandria, DC-VA-MD-WV1,646$24,244,3861,167,075453
Boston-Cambridge-Newton, MA-NH1,486$20,621,261988,970468
Phoenix-Mesa-Chandler, AZ1,278$20,369,2331,075,371523
Detroit-Warren-Dearborn, MI1,216$16,568,061854,519521
Baltimore-Columbia-Towson, MD1,032$14,828,132728,860489
Atlanta-Sandy Springs-Roswell, GA1,235$14,166,864746,356433
Dallas-Fort Worth-Arlington, TX956$13,158,472692,494459
Seattle-Tacoma-Bellevue, WA1,192$9,324,791469,820254
Tampa-St. Petersburg-Clearwater, FL512$8,815,586455,281527
San Diego-Chula Vista-Carlsbad, CA689$8,506,829412,941355

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 2021.

Specialties billing 97110 nationally

Physical Therapist in Private Practice accounts for 91% of payment for 97110 nationally in 2021, across 22 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice61,88287%$1,034,971,41191%52,340,024846
Occupational Therapist in Private Practice6,9349.7%$78,730,8856.9%3,974,414573
Orthopedic Surgery9881.4%$12,160,3971.1%599,732607
Physical Medicine and Rehabilitation3440.48%$4,941,2470.43%230,533670
Nurse Practitioner2420.34%$2,720,7810.24%154,130637
Internal Medicine1230.17%$1,735,3020.15%81,200660
Family Practice1680.24%$1,314,0730.11%65,329389
Hand Surgery1170.16%$1,114,7330.10%54,870469
Interventional Pain Management410.06%$750,6470.07%37,850923
Pain Management410.06%$522,6810.05%24,805605
Podiatry970.14%$486,4920.04%22,301230
Sports Medicine430.06%$473,4900.04%22,798530
Neurology440.06%$467,8100.04%23,038524
General Practice210.03%$426,2580.04%20,085956
Physician Assistant380.05%$383,7590.03%23,248612

Not listed: 28 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 2021.

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