HCPCS 97112

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

Other services Work RVU per service 0.50 (2020 fee schedule)

42,373
99th percentile among 6,116 codes billed · 2020
$376M
99th percentile among 6,116 codes billed · 2020
15.4M
99th percentile among 6,116 codes billed · 2020
221
93rd percentile among 6,116 codes billed · 2020
1,137
90th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$500M2020: $376M paid20202021: $504M paid20212022: $552M paid20222023: $630M paid20232024: $707M paid2024$707M$0$500M2020: $376M paid20202021: $504M paid20212022: $552M paid20222023: $630M paid20232024: $707M paid2024$707M$0$500M2020: $376M paid20202021: $504M paid20212022: $552M paid20222023: $630M paid20232024: $707M paid2024$707M$0$500M2020: $376M paid20202021: $504M paid20212022: $552M paid20222023: $630M paid20232024: $707M paid2024$707M

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

Billers

025K50K2020: 42K providers20202021: 50K providers20212022: 56K providers20222023: 62K providers20232024: 68K providers202468K025K50K2020: 42K providers20202021: 50K providers20212022: 56K providers20222023: 62K providers20232024: 68K providers202468K025K50K2020: 42K providers20202021: 50K providers20212022: 56K providers20222023: 62K providers20232024: 68K providers202468K025K50K2020: 42K providers20202021: 50K providers20212022: 56K providers20222023: 62K providers20232024: 68K providers202468K

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
202467,834$706,760,086+12%33,792,5923111,5450.50
202361,940$630,172,130+14%29,112,8172901,4560.50
202256,003$551,711,341+9%24,323,4442671,3530.50
202150,279$504,155,757+34%20,887,2222531,3030.50
202042,373$376,172,998first year in data15,425,3322211,1370.50

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 York3,571$44,128,9641,619,5252841,421
California3,373$36,529,6291,428,1022361,345
New Jersey2,494$27,338,4671,058,8642861,249
Florida1,841$22,855,348948,0682751,715
Illinois2,535$19,748,097819,168207912
Pennsylvania1,790$18,980,871775,8893081,233
Texas1,636$15,980,214677,0112301,319
Virginia1,391$14,741,443619,2032701,292
Maryland1,471$13,033,319510,9182281,047
Michigan1,407$11,124,298463,252219974
Arizona1,134$10,252,040444,2472341,299
Georgia1,208$8,958,205391,753219957
Massachusetts1,159$8,382,513327,866184860
Washington1,358$8,363,843352,533155793
North Carolina1,200$8,348,832362,368195891

Not listed: 7 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-NJ4,721$58,040,6852,137,322297
Chicago-Naperville-Elgin, IL-IN2,224$18,116,729749,786218
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,607$17,565,732707,282315
Los Angeles-Long Beach-Anaheim, CA1,224$15,104,088585,651266
Washington-Arlington-Alexandria, DC-VA-MD-WV1,148$9,623,563375,729211
Phoenix-Mesa-Chandler, AZ807$7,567,442328,482246
Miami-Fort Lauderdale-West Palm Beach, FL530$7,531,901306,612302
Detroit-Warren-Dearborn, MI825$7,467,228306,171252
Baltimore-Columbia-Towson, MD775$6,817,627269,259236
Boston-Cambridge-Newton, MA-NH900$6,255,728242,649178
Atlanta-Sandy Springs-Roswell, GA800$5,650,004246,530207
Seattle-Tacoma-Bellevue, WA805$4,730,497199,057151
Dallas-Fort Worth-Arlington, TX494$4,023,143170,213204
San Diego-Chula Vista-Carlsbad, CA352$3,525,985141,721238
Kansas City, MO-KS438$3,299,806148,791256

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 97112 nationally

Physical Therapist in Private Practice accounts for 92% of payment for 97112 nationally in 2020, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice39,13492%$347,634,33492%14,213,536363
Occupational Therapist in Private Practice2,1195.0%$18,046,9144.8%760,156359
Nurse Practitioner1680.40%$3,827,2471.0%185,1651,102
Orthopedic Surgery3160.75%$1,726,4910.46%67,785215
Physical Medicine and Rehabilitation1560.37%$1,196,0250.32%45,735293
Family Practice660.16%$786,3300.21%30,772466
Internal Medicine690.16%$497,7510.13%19,579284
Neurology460.11%$391,9830.10%16,376356
Podiatry360.08%$320,7960.09%12,670352
Physician Assistant180.04%$275,6860.07%13,151731
Otolaryngology600.14%$275,2680.07%11,950199
Anesthesiology110.03%$143,8030.04%5,861533
Interventional Pain Management210.05%$90,9540.02%3,763179
Rheumatology190.04%$90,2150.02%3,658193
Pain Management120.03%$81,0290.02%3,171264

Not listed: 21 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 97112 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