HCPCS 97110

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

Other services Work RVU per service 0.45 (2022 fee schedule)

75,743
100th percentile among 6,326 codes billed · 2022
$1.13B
100th percentile among 6,326 codes billed · 2022
60.7M
100th percentile among 6,326 codes billed · 2022
498
94th percentile among 6,326 codes billed · 2022
2,516
94th percentile among 6,326 codes billed · 2022
-0.8%
Medicare payment on the code vs 2021; billers +6.1% · 2022

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 York6,355$129,210,8686,248,2756462,917
California6,421$111,108,5815,591,4574922,914
New Jersey4,200$85,400,2544,222,5227492,703
Florida3,521$80,356,0504,399,2317253,953
Illinois3,948$54,504,8452,953,7565082,192
Texas3,337$51,122,9702,895,1554822,912
Pennsylvania3,128$49,223,8962,656,5126162,327
Maryland2,080$31,759,7011,644,2335482,314
Virginia2,068$31,528,5011,704,9385302,553
Arizona1,891$28,450,5151,601,6104972,947
Massachusetts1,997$28,035,8071,430,8734952,049
Georgia2,083$27,171,9581,536,9415141,988
North Carolina2,239$26,534,6991,500,4884322,056
South Carolina1,290$25,897,8031,497,8617683,363
Michigan2,403$24,406,8461,356,5703951,583

Not listed: 13 billers with an armed-forces or unknown state code (AA, AE, AP, XX); 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ7,779$164,699,5897,868,744694
Chicago-Naperville-Elgin, IL-IN3,305$43,737,3552,349,200487
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,429$42,718,6152,216,582705
Los Angeles-Long Beach-Anaheim, CA2,268$42,116,2952,088,720523
Miami-Fort Lauderdale-West Palm Beach, FL1,031$26,791,8221,442,975810
Washington-Arlington-Alexandria, DC-VA-MD-WV1,759$24,429,3191,236,307427
Boston-Cambridge-Newton, MA-NH1,581$20,999,6821,067,151463
Phoenix-Mesa-Chandler, AZ1,369$19,925,5961,120,685486
Baltimore-Columbia-Towson, MD1,063$15,073,285786,559521
Detroit-Warren-Dearborn, MI1,299$14,751,090807,695455
Atlanta-Sandy Springs-Roswell, GA1,282$14,393,524795,395458
Dallas-Fort Worth-Arlington, TX1,143$13,979,690782,689412
San Diego-Chula Vista-Carlsbad, CA792$9,807,550501,951377
Seattle-Tacoma-Bellevue, WA1,280$8,712,280465,208229
San Francisco-Oakland-Fremont, CA659$8,613,648404,825377

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 2022.

Specialties billing 97110 nationally

Physical Therapist in Private Practice accounts for 90% of payment for 97110 nationally in 2022, across 21 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice65,55387%$1,022,285,39490%54,917,624838
Occupational Therapist in Private Practice7,89210%$85,245,0047.5%4,498,864570
Orthopedic Surgery8291.1%$9,664,7610.85%499,693603
Physical Medicine and Rehabilitation3240.43%$4,688,8150.41%226,168698
Nurse Practitioner2370.31%$2,989,9350.26%179,158756
Internal Medicine1280.17%$1,676,4240.15%82,777647
Family Practice1320.17%$1,162,8840.10%59,847453
Hand Surgery960.13%$845,1000.07%42,829446
Interventional Pain Management440.06%$668,4650.06%35,601809
Pain Management390.05%$439,4460.04%22,028565
Neurology460.06%$432,8960.04%21,971478
Sports Medicine340.04%$426,3560.04%21,207624
Podiatry830.11%$403,0760.04%19,040229
General Practice210.03%$392,8700.03%19,021906
Physician Assistant480.06%$332,2940.03%20,566428

Not listed: 25 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 2022.

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