HCPCS 97110

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

Other services Work RVU per service 0.45 (2023 fee schedule)

79,999
100th percentile among 6,405 codes billed · 2023
$1.15B
100th percentile among 6,405 codes billed · 2023
63.8M
100th percentile among 6,405 codes billed · 2023
480
94th percentile among 6,405 codes billed · 2023
2,524
93rd percentile among 6,405 codes billed · 2023
+1.6%
Medicare payment on the code vs 2022; billers +5.6% · 2023

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 York6,773$132,190,1786,704,8996413,010
California6,717$114,833,0775,915,5584892,982
New Jersey4,434$92,681,2624,729,1147783,016
Florida3,869$83,482,2764,781,7206943,966
Illinois4,104$53,011,3753,000,0484842,146
Texas3,608$50,530,7472,946,0334452,732
Pennsylvania3,255$49,723,0012,773,5206022,442
Maryland2,174$32,313,0461,741,6965392,300
Virginia2,207$31,640,1021,769,1885072,493
Arizona2,016$28,442,2471,647,9824662,723
Massachusetts2,061$27,778,0161,463,2394592,171
North Carolina2,468$27,494,0161,606,0613922,005
Georgia2,147$26,993,8921,575,8095002,107
South Carolina1,388$26,614,6861,572,2957113,471
Michigan2,541$22,998,7381,327,2763491,505

Not listed: 12 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ8,270$173,122,2938,655,695715
Los Angeles-Long Beach-Anaheim, CA2,469$44,655,8072,271,311498
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,551$43,938,6482,358,437702
Chicago-Naperville-Elgin, IL-IN3,446$42,820,2472,403,361462
Miami-Fort Lauderdale-West Palm Beach, FL1,131$27,055,6751,538,852760
Washington-Arlington-Alexandria, DC-VA-MD-WV1,860$24,825,3661,305,235427
Boston-Cambridge-Newton, MA-NH1,632$20,565,0431,078,781419
Phoenix-Mesa-Chandler, AZ1,449$20,097,4101,165,138468
Baltimore-Columbia-Towson, MD1,126$15,793,896856,347525
Atlanta-Sandy Springs-Roswell, GA1,329$14,735,907839,730429
Dallas-Fort Worth-Arlington, TX1,294$14,203,213814,739394
Detroit-Warren-Dearborn, MI1,383$13,782,802785,211380
San Diego-Chula Vista-Carlsbad, CA836$10,392,871546,538372
Tampa-St. Petersburg-Clearwater, FL586$8,987,143522,478597
Seattle-Tacoma-Bellevue, WA1,313$8,942,821488,196232

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 2023.

Specialties billing 97110 nationally

Physical Therapist in Private Practice accounts for 90% of payment for 97110 nationally in 2023, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice68,96986%$1,033,629,37990%57,357,324832
Occupational Therapist in Private Practice8,80311%$93,374,0708.1%5,120,013582
Orthopedic Surgery8281.0%$8,674,8760.75%464,160561
Physical Medicine and Rehabilitation3330.42%$4,492,9640.39%227,246682
Nurse Practitioner2010.25%$2,375,5690.21%147,465734
Internal Medicine1000.13%$1,574,6540.14%79,369794
Family Practice1350.17%$1,332,8270.12%70,727524
Hand Surgery970.12%$698,1640.06%36,401375
Interventional Pain Management370.05%$575,6400.05%31,521852
General Practice190.02%$566,4360.05%28,8421,518
Pain Management320.04%$501,7000.04%26,117816
Neurology450.06%$498,2840.04%26,202582
Podiatry880.11%$442,7950.04%21,797248
Sports Medicine370.05%$408,3870.04%21,294576
Physician Assistant570.07%$333,0030.03%20,878366

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 2023.

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