HCPCS 97140

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

Other services Work RVU per service 0.43 (2022 fee schedule)

62,525
100th percentile among 6,326 codes billed · 2022
$466M
99th percentile among 6,326 codes billed · 2022
27.8M
100th percentile among 6,326 codes billed · 2022
277
93rd percentile among 6,326 codes billed · 2022
1,374
90th percentile among 6,326 codes billed · 2022
-2.0%
Medicare payment on the code vs 2021; billers +4.6% · 2022

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
California5,699$60,418,0113,433,4753452,011
New York4,809$48,708,0902,620,3893281,759
New Jersey3,319$33,354,0051,853,6874001,646
Florida2,761$27,027,5751,653,8223161,991
Pennsylvania2,559$19,728,9621,188,2003081,386
Illinois3,054$17,910,6401,073,638250986
Arizona1,731$15,600,309973,8473411,806
Maryland1,771$15,553,556901,2033701,384
Texas2,550$15,104,472947,5062161,181
Michigan2,137$14,082,181862,8052841,146
Massachusetts1,694$12,321,954722,3982941,267
Virginia1,663$12,082,330724,6933021,290
Colorado1,694$11,875,127720,1133011,155
Washington2,107$11,613,979711,0682101,044
North Carolina1,907$11,111,048699,4622311,097

Not listed: 14 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ6,335$70,362,9923,785,272402
Los Angeles-Long Beach-Anaheim, CA2,030$24,821,2171,393,157395
Chicago-Naperville-Elgin, IL-IN2,584$15,656,308933,265257
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,711$13,353,946774,253299
Washington-Arlington-Alexandria, DC-VA-MD-WV1,488$11,852,486672,985309
Phoenix-Mesa-Chandler, AZ1,266$11,238,211700,249348
Miami-Fort Lauderdale-West Palm Beach, FL871$10,497,149630,035372
Boston-Cambridge-Newton, MA-NH1,330$9,483,776555,358292
Detroit-Warren-Dearborn, MI1,179$8,939,110539,491360
Baltimore-Columbia-Towson, MD892$7,627,600444,342368
Atlanta-Sandy Springs-Roswell, GA1,094$6,298,717384,414253
San Francisco-Oakland-Fremont, CA587$5,808,917313,561319
Seattle-Tacoma-Bellevue, WA1,121$5,474,323329,394188
San Diego-Chula Vista-Carlsbad, CA680$5,252,412301,771256
Denver-Aurora-Centennial, CO756$4,882,851296,960266

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 2022.

Specialties billing 97140 nationally

Physical Therapist in Private Practice accounts for 92% of payment for 97140 nationally in 2022, across 19 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice56,30890%$428,380,81592%25,652,366456
Occupational Therapist in Private Practice4,6197.4%$25,853,7895.6%1,519,677329
Orthopedic Surgery6170.99%$3,221,9800.69%189,442307
Physical Medicine and Rehabilitation2510.40%$2,794,9490.60%154,502616
Internal Medicine880.14%$1,093,5720.23%59,569677
Nurse Practitioner1040.17%$739,5040.16%50,535486
Family Practice1010.16%$729,5310.16%41,431410
General Practice160.03%$648,5840.14%37,2642,329
Podiatry600.10%$467,6540.10%23,836397
Neurology390.06%$275,8450.06%15,290392
Pain Management320.05%$262,4150.06%14,711460
Hand Surgery610.10%$224,2510.05%13,341219
Interventional Pain Management360.06%$163,8500.04%9,666269
Anesthesiology190.03%$145,5500.03%8,429444
Sports Medicine200.03%$101,0700.02%5,804290

Not listed: 25 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 2022.

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