HCPCS 97140

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

Other services Work RVU per service 0.43 (2023 fee schedule)

65,133
100th percentile among 6,405 codes billed · 2023
$466M
99th percentile among 6,405 codes billed · 2023
28.7M
100th percentile among 6,405 codes billed · 2023
268
92nd percentile among 6,405 codes billed · 2023
1,360
89th percentile among 6,405 codes billed · 2023
+0.1%
Medicare payment on the code vs 2022; billers +4.2% · 2023

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
California5,954$62,469,3663,629,2023441,973
New York5,107$49,853,6012,814,0693321,773
New Jersey3,498$35,954,2062,051,6794191,692
Florida3,020$27,512,0321,756,9882911,980
Pennsylvania2,636$19,919,5901,236,7643131,335
Illinois3,124$17,010,5401,059,295232965
Maryland1,832$15,356,680922,7343421,441
Texas2,746$15,304,708985,7271931,117
Arizona1,802$15,146,875970,1123231,639
Michigan2,236$13,364,379850,2202791,064
Massachusetts1,715$12,113,558728,2102911,225
Virginia1,737$12,026,914743,6662891,257
Colorado1,767$11,248,862695,6442891,092
Washington2,127$10,602,478660,978191949
North Carolina2,015$10,584,662687,1282151,013

Not listed: 12 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-NJ6,734$73,838,5234,142,791415
Los Angeles-Long Beach-Anaheim, CA2,184$26,115,0221,500,417386
Chicago-Naperville-Elgin, IL-IN2,656$14,872,599920,285234
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,745$13,391,697800,032302
Washington-Arlington-Alexandria, DC-VA-MD-WV1,567$12,058,131709,451313
Phoenix-Mesa-Chandler, AZ1,311$11,151,820712,419340
Miami-Fort Lauderdale-West Palm Beach, FL924$10,405,425658,790350
Boston-Cambridge-Newton, MA-NH1,359$9,265,642555,705282
Detroit-Warren-Dearborn, MI1,255$8,462,084532,071315
Baltimore-Columbia-Towson, MD937$7,628,782461,095333
Atlanta-Sandy Springs-Roswell, GA1,140$6,142,108387,180248
San Francisco-Oakland-Fremont, CA564$5,703,991311,161353
San Diego-Chula Vista-Carlsbad, CA730$5,688,566333,124264
Seattle-Tacoma-Bellevue, WA1,168$4,978,172303,523161
Denver-Aurora-Centennial, CO806$4,894,881302,114259

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 97140 nationally

Physical Therapist in Private Practice accounts for 92% of payment for 97140 nationally in 2023, across 19 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice58,48990%$427,345,38392%26,337,196450
Occupational Therapist in Private Practice5,0827.8%$27,774,2696.0%1,686,229332
Orthopedic Surgery5930.91%$2,712,1320.58%165,540279
Physical Medicine and Rehabilitation2600.40%$2,538,1780.54%146,393563
Family Practice1020.16%$1,048,4080.22%61,845606
Internal Medicine760.12%$1,025,1180.22%56,648745
Nurse Practitioner1020.16%$760,1190.16%53,181521
General Practice160.02%$723,5870.16%43,1962,700
Podiatry610.09%$489,3070.10%25,419417
Pain Management370.06%$256,2390.05%14,692397
Neurology340.05%$226,1340.05%12,812377
Hand Surgery640.10%$219,6030.05%13,341208
Interventional Pain Management300.05%$146,0400.03%8,753292
Anesthesiology200.03%$130,6270.03%7,667383
Rheumatology220.03%$78,4560.02%4,712214

Not listed: 27 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 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