HCPCS 97140

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

Other services Work RVU per service 0.43 (2021 fee schedule)

59,794
100th percentile among 6,253 codes billed · 2021
$475M
99th percentile among 6,253 codes billed · 2021
27.0M
100th percentile among 6,253 codes billed · 2021
287
93rd percentile among 6,253 codes billed · 2021
1,380
91st percentile among 6,253 codes billed · 2021
+19.9%
Medicare payment on the code vs 2020; billers +10.2% · 2021

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
California5,322$58,953,1703,210,5213531,934
New York4,567$48,302,3352,506,1803321,717
New Jersey3,113$31,265,6911,677,5263891,584
Florida2,714$29,173,4701,671,1153262,062
Pennsylvania2,458$19,597,2221,124,7473251,270
Illinois3,030$18,836,5131,069,040252964
Arizona1,601$16,127,799955,4363781,853
Maryland1,733$15,534,910853,0743471,397
Michigan1,977$14,749,436854,5423111,129
Texas2,279$14,717,350872,1422281,162
Washington2,100$13,021,631754,3262281,103
Massachusetts1,611$12,772,742708,9423081,306
Virginia1,626$12,609,182718,3233021,245
Colorado1,623$12,430,433716,6953341,157
North Carolina1,814$11,891,663710,1112591,129

Not listed: 9 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ5,969$67,993,5423,531,545398
Los Angeles-Long Beach-Anaheim, CA1,837$23,349,8791,260,290394
Chicago-Naperville-Elgin, IL-IN2,565$16,317,161921,727258
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,645$13,131,837730,885302
Washington-Arlington-Alexandria, DC-VA-MD-WV1,430$11,715,915635,480313
Phoenix-Mesa-Chandler, AZ1,169$11,367,072672,873372
Miami-Fort Lauderdale-West Palm Beach, FL818$10,745,278603,860398
Boston-Cambridge-Newton, MA-NH1,271$9,856,817548,332302
Detroit-Warren-Dearborn, MI1,097$9,402,344538,022381
Baltimore-Columbia-Towson, MD877$7,738,286426,836343
Atlanta-Sandy Springs-Roswell, GA1,068$6,290,718368,934243
Seattle-Tacoma-Bellevue, WA1,122$6,280,416357,912201
San Francisco-Oakland-Fremont, CA556$5,834,028301,252344
Denver-Aurora-Centennial, CO714$5,002,581288,957311
San Diego-Chula Vista-Carlsbad, CA613$4,872,310269,618260

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 2021.

Specialties billing 97140 nationally

Physical Therapist in Private Practice accounts for 92% of payment for 97140 nationally in 2021, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice53,77690%$438,179,24992%24,950,856464
Occupational Therapist in Private Practice4,1807.0%$24,665,0655.2%1,390,646333
Orthopedic Surgery7611.3%$4,037,0520.85%229,073301
Physical Medicine and Rehabilitation2810.47%$2,734,1790.58%146,401521
Internal Medicine940.16%$1,070,2040.23%56,850605
Family Practice1220.20%$742,0730.16%40,774334
Nurse Practitioner1140.19%$741,1160.16%48,141422
General Practice180.03%$526,4270.11%29,3251,629
Podiatry690.12%$518,8510.11%26,246380
Pain Management330.06%$423,5680.09%23,524713
Neurology350.06%$288,7890.06%15,705449
Hand Surgery750.13%$276,3050.06%15,965213
Interventional Pain Management390.07%$235,2770.05%13,251340
Anesthesiology170.03%$195,7600.04%10,698629
Sports Medicine210.04%$111,9200.02%6,036287

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 2021.

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