HCPCS 97140

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

Other services Work RVU per service 0.43 (2024 fee schedule)

67,054
100th percentile among 6,471 codes billed · 2024
$450M
99th percentile among 6,471 codes billed · 2024
28.4M
100th percentile among 6,471 codes billed · 2024
253
91st percentile among 6,471 codes billed · 2024
1,329
88th percentile among 6,471 codes billed · 2024
-3.3%
Medicare payment on the code vs 2023; billers +2.9% · 2024

Trend

Medicare payment on the code

$0$200M$400M2020: $397M paid20202021: $475M paid20212022: $466M paid20222023: $466M paid20232024: $450M paid2024$450M$0$200M$400M2020: $397M paid20202021: $475M paid20212022: $466M paid20222023: $466M paid20232024: $450M paid2024$450M$0$200M$400M2020: $397M paid20202021: $475M paid20212022: $466M paid20222023: $466M paid20232024: $450M paid2024$450M$0$200M$400M2020: $397M paid20202021: $475M paid20212022: $466M paid20222023: $466M paid20232024: $450M paid2024$450M

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

Billers

025K50K2020: 54K providers20202021: 60K providers20212022: 63K providers20222023: 65K providers20232024: 67K providers202467K025K50K2020: 54K providers20202021: 60K providers20212022: 63K providers20222023: 65K providers20232024: 67K providers202467K025K50K2020: 54K providers20202021: 60K providers20212022: 63K providers20222023: 65K providers20232024: 67K providers202467K025K50K2020: 54K providers20202021: 60K providers20212022: 63K providers20222023: 65K providers20232024: 67K providers202467K

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
202467,054$450,466,794-3%28,359,9092531,3290.43
202365,133$466,049,718+0%28,671,8692681,3600.43
202262,525$465,791,362-2%27,835,6182771,3740.43
202159,794$475,479,281+20%27,045,5032871,3800.43
202054,252$396,619,998first year in data22,262,8562641,2310.43

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
California6,052$61,972,0923,689,7613402,000
New York5,324$48,722,8942,823,3103201,657
New Jersey3,599$35,527,4652,073,1554011,656
Florida3,083$26,644,1541,739,8412791,798
Pennsylvania2,727$19,393,2191,232,6983011,335
Illinois3,131$15,766,3941,001,469215946
Texas2,825$15,106,802994,8951891,127
Maryland1,861$14,358,970888,5962931,483
Arizona1,884$14,074,091919,6362841,543
Michigan2,257$12,259,585795,639259981
Massachusetts1,819$11,913,741735,7412671,196
Virginia1,842$11,604,544737,2172641,224
Colorado1,819$10,639,370675,0002521,035
North Carolina2,179$10,615,488703,765200982
Washington2,063$9,174,810582,904174827

Not listed: 11 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ7,098$73,102,5444,207,830391
Los Angeles-Long Beach-Anaheim, CA2,196$26,247,4311,545,632390
Chicago-Naperville-Elgin, IL-IN2,680$13,721,902864,965216
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,761$12,777,590779,336277
Washington-Arlington-Alexandria, DC-VA-MD-WV1,596$11,582,219704,385283
Phoenix-Mesa-Chandler, AZ1,389$10,285,950672,323284
Miami-Fort Lauderdale-West Palm Beach, FL948$10,035,687648,878346
Boston-Cambridge-Newton, MA-NH1,379$8,770,749540,045258
Detroit-Warren-Dearborn, MI1,235$7,692,958492,928313
Baltimore-Columbia-Towson, MD965$7,031,531436,487266
San Diego-Chula Vista-Carlsbad, CA762$6,015,794361,076281
Atlanta-Sandy Springs-Roswell, GA1,138$5,751,833370,461228
San Francisco-Oakland-Fremont, CA558$5,559,374306,334329
Denver-Aurora-Centennial, CO865$4,819,352305,380242
Dallas-Fort Worth-Arlington, TX1,088$4,725,661307,000159

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 2024.

Specialties billing 97140 nationally

Physical Therapist in Private Practice accounts for 91% of payment for 97140 nationally in 2024, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice60,22090%$411,387,02691%25,936,478431
Occupational Therapist in Private Practice5,4558.1%$29,336,3346.5%1,824,513334
Physical Medicine and Rehabilitation2680.40%$2,271,5740.50%135,923507
Orthopedic Surgery4740.71%$2,104,6850.47%133,803282
Family Practice890.13%$979,7960.22%59,141665
Internal Medicine730.11%$910,2410.20%51,650708
Nurse Practitioner1050.16%$785,2720.17%55,685530
Podiatry520.08%$442,9420.10%24,759476
Anesthesiology150.02%$279,9420.06%16,2301,082
Pain Management260.04%$200,4370.04%12,024462
Neurology270.04%$198,9570.04%11,317419
Hand Surgery610.09%$177,6120.04%11,197184
Physician Assistant250.04%$90,4650.02%6,770271
Interventional Pain Management220.03%$82,3120.02%5,097232
Rheumatology200.03%$66,3150.01%4,035202

Not listed: 23 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 2024.

Top billers of 97140 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