HCPCS 97140

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

Other services Work RVU per service 0.43 (2020 fee schedule)

54,252
100th percentile among 6,116 codes billed · 2020
$397M
99th percentile among 6,116 codes billed · 2020
22.3M
100th percentile among 6,116 codes billed · 2020
264
93rd percentile among 6,116 codes billed · 2020
1,231
90th percentile among 6,116 codes billed · 2020

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
California4,797$47,885,6942,581,3353261,695
New York4,135$36,844,6611,898,1732791,431
Florida2,482$25,719,2481,445,6213191,946
New Jersey2,884$23,562,5771,249,6453001,194
Pennsylvania2,171$15,707,857884,4812951,097
Illinois2,834$15,461,703866,408220860
Arizona1,551$14,804,640861,1573541,718
Maryland1,579$12,520,965681,5423131,193
Texas2,001$12,353,950718,5472181,032
Michigan1,790$12,314,985701,1652911,041
Washington1,965$11,507,293655,7692241,004
Virginia1,497$11,083,221622,4662811,190
Colorado1,401$10,858,697614,5243301,146
North Carolina1,609$10,320,484606,6952541,115
Massachusetts1,472$9,845,631539,4482581,120

Not listed: 6 billers with an armed-forces or unknown state code (AA, AE, XX, ZZ); they are in the national totals.

Not listed: 4 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-NJ5,414$51,170,6862,632,887325
Los Angeles-Long Beach-Anaheim, CA1,660$18,428,416982,671354
Chicago-Naperville-Elgin, IL-IN2,398$13,184,505735,928223
Phoenix-Mesa-Chandler, AZ1,122$10,270,855596,918342
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,492$9,867,106539,427248
Washington-Arlington-Alexandria, DC-VA-MD-WV1,303$9,416,713508,610273
Miami-Fort Lauderdale-West Palm Beach, FL742$8,954,328493,457362
Detroit-Warren-Dearborn, MI999$7,684,093431,730336
Boston-Cambridge-Newton, MA-NH1,142$7,592,431416,476255
Baltimore-Columbia-Towson, MD817$6,366,621346,765319
Atlanta-Sandy Springs-Roswell, GA983$5,528,309316,824226
Seattle-Tacoma-Bellevue, WA1,029$5,428,486304,565204
San Francisco-Oakland-Fremont, CA514$4,569,419234,782283
Denver-Aurora-Centennial, CO608$4,164,334235,806278
San Diego-Chula Vista-Carlsbad, CA513$3,946,706216,324241

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 97140 nationally

Physical Therapist in Private Practice accounts for 92% of payment for 97140 nationally in 2020, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice48,76390%$364,257,34592%20,470,447420
Occupational Therapist in Private Practice3,6336.7%$20,728,1545.2%1,151,983317
Orthopedic Surgery7841.4%$4,001,0951.0%223,357285
Physical Medicine and Rehabilitation3070.57%$2,599,9300.66%140,490458
Internal Medicine960.18%$878,0210.22%46,128481
Family Practice1280.24%$757,6580.19%41,458324
Nurse Practitioner900.17%$529,3220.13%33,415371
Podiatry600.11%$456,7880.12%22,528375
General Practice230.04%$369,7110.09%19,660855
Pain Management250.05%$313,3360.08%16,907676
Hand Surgery770.14%$287,6410.07%16,327212
Neurology320.06%$244,5340.06%13,441420
Interventional Pain Management390.07%$232,9270.06%13,007334
Anesthesiology180.03%$177,1730.04%9,743541
Sports Medicine250.05%$131,8460.03%7,209288

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 2020.

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