HCPCS 97112

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

Other services Work RVU per service 0.50 (2023 fee schedule)

61,940
100th percentile among 6,405 codes billed · 2023
$630M
100th percentile among 6,405 codes billed · 2023
29.1M
100th percentile among 6,405 codes billed · 2023
290
93rd percentile among 6,405 codes billed · 2023
1,456
90th percentile among 6,405 codes billed · 2023
+14.2%
Medicare payment on the code vs 2022; billers +10.6% · 2023

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 York5,066$72,524,3172,971,6013701,752
California5,207$65,431,9072,837,4543141,815
New Jersey3,518$47,558,0902,005,3043931,605
Florida2,713$35,430,7811,708,5303432,116
Illinois3,405$32,249,7631,521,5252891,301
Texas2,898$31,375,7171,515,0202961,636
Pennsylvania2,479$30,115,7051,394,7313881,603
Maryland1,907$21,980,377974,2103451,528
Virginia1,867$21,802,0071,021,6673471,665
Michigan2,130$18,487,666898,9812781,303
Arizona1,689$17,363,521853,2343181,577
Georgia1,786$16,358,912809,2113041,298
Massachusetts1,645$15,313,142663,4222751,172
North Carolina1,824$13,791,036676,7922371,059
Washington1,964$12,618,557594,193201904

Not listed: 13 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ6,756$100,728,5724,118,091399
Chicago-Naperville-Elgin, IL-IN2,954$29,142,7821,365,607302
Los Angeles-Long Beach-Anaheim, CA1,873$27,006,0741,155,039357
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,014$25,425,1981,135,952414
Washington-Arlington-Alexandria, DC-VA-MD-WV1,569$15,873,676685,959294
Phoenix-Mesa-Chandler, AZ1,227$13,459,335662,748346
Detroit-Warren-Dearborn, MI1,179$12,695,975612,433361
Boston-Cambridge-Newton, MA-NH1,327$12,000,637516,210272
Miami-Fort Lauderdale-West Palm Beach, FL790$11,581,460550,209358
Baltimore-Columbia-Towson, MD995$10,793,853481,657327
Atlanta-Sandy Springs-Roswell, GA1,142$10,659,227519,742315
Dallas-Fort Worth-Arlington, TX1,083$9,896,535475,013275
Seattle-Tacoma-Bellevue, WA1,174$7,172,226332,977201
San Diego-Chula Vista-Carlsbad, CA661$6,806,095300,960262
Denver-Aurora-Centennial, CO758$6,022,284278,005253

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 97112 nationally

Physical Therapist in Private Practice accounts for 93% of payment for 97112 nationally in 2023, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice56,69692%$586,330,54493%27,068,454477
Occupational Therapist in Private Practice4,1716.7%$33,703,4765.3%1,585,286380
Nurse Practitioner1540.25%$2,113,2170.34%106,035689
Physical Medicine and Rehabilitation1700.27%$2,081,9340.33%91,153536
Orthopedic Surgery3140.51%$1,933,5080.31%84,815270
Family Practice640.10%$670,2910.11%28,777450
Internal Medicine420.07%$544,4700.09%23,274554
Neurology420.07%$301,8730.05%13,647325
Otolaryngology520.08%$290,4960.05%14,420277
Physician Assistant340.05%$279,8680.04%14,405424
Podiatry280.05%$274,4360.04%11,284403
Emergency Medicine110.02%$266,0710.04%10,9991,000
Anesthesiology160.03%$224,0200.04%10,116632
Pain Management170.03%$166,4220.03%6,999412
Interventional Pain Management180.03%$94,8450.02%4,091227

Not listed: 24 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 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