HCPCS 97530
Other service (ClaimLight category; the code descriptor is not shown)
Other services Work RVU per service 0.44 (2024 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 70,092 | $1,063,442,995 | +17% | 43,562,919 | 374 | 1,974 | 0.44 |
| 2023 | 62,717 | $911,698,617 | +23% | 36,072,817 | 344 | 1,827 | 0.44 |
| 2022 | 54,839 | $740,010,645 | +14% | 28,534,153 | 310 | 1,659 | 0.44 |
| 2021 | 47,233 | $648,879,561 | +41% | 23,095,011 | 292 | 1,575 | 0.44 |
| 2020 | 38,619 | $461,229,754 | first year in data | 16,295,948 | 245 | 1,387 | 0.44 |
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 | |
|---|---|---|---|---|---|---|
| California | 5,717 | $118,109,602 | 4,474,491 | 434 | 2,625 | |
| New York | 5,373 | $102,749,980 | 3,679,986 | 423 | 2,140 | |
| New Jersey | 3,939 | $77,670,870 | 2,854,230 | 492 | 2,123 | |
| Florida | 3,189 | $65,315,667 | 2,848,046 | 437 | 3,104 | |
| Illinois | 3,581 | $51,920,006 | 2,133,050 | 397 | 1,748 | |
| Texas | 3,203 | $48,010,249 | 2,091,173 | 392 | 2,054 | |
| Pennsylvania | 2,823 | $46,904,221 | 1,900,186 | 461 | 1,987 | |
| Arizona | 1,983 | $36,030,639 | 1,549,395 | 504 | 2,393 | |
| Maryland | 2,086 | $34,978,669 | 1,356,075 | 431 | 1,961 | |
| Virginia | 2,190 | $34,357,664 | 1,421,141 | 389 | 2,025 | |
| Washington | 2,404 | $29,303,799 | 1,210,792 | 319 | 1,558 | |
| South Carolina | 1,404 | $27,699,119 | 1,244,116 | 591 | 2,582 | |
| North Carolina | 2,305 | $27,421,907 | 1,202,191 | 287 | 1,742 | |
| Georgia | 1,927 | $24,087,609 | 1,038,708 | 363 | 1,635 | |
| Massachusetts | 1,789 | $23,074,454 | 871,700 | 318 | 1,524 |
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 2024.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 6,962 | $140,042,658 | 4,957,598 | 458 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 2,423 | $49,642,199 | 1,925,193 | 620 | |
| Chicago-Naperville-Elgin, IL-IN | 3,098 | $43,877,686 | 1,767,839 | 394 | |
| Los Angeles-Long Beach-Anaheim, CA | 1,980 | $39,725,467 | 1,493,431 | 384 | |
| Phoenix-Mesa-Chandler, AZ | 1,459 | $25,842,870 | 1,105,040 | 518 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1,749 | $25,139,088 | 949,875 | 357 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 900 | $21,021,716 | 900,889 | 470 | |
| San Diego-Chula Vista-Carlsbad, CA | 890 | $19,378,031 | 760,873 | 506 | |
| Baltimore-Columbia-Towson, MD | 1,084 | $17,517,428 | 687,894 | 420 | |
| Boston-Cambridge-Newton, MA-NH | 1,413 | $17,201,304 | 642,255 | 316 | |
| Dallas-Fort Worth-Arlington, TX | 1,236 | $16,215,927 | 688,139 | 369 | |
| Seattle-Tacoma-Bellevue, WA | 1,449 | $16,098,086 | 644,793 | 307 | |
| Atlanta-Sandy Springs-Roswell, GA | 1,185 | $14,984,206 | 632,919 | 355 | |
| Detroit-Warren-Dearborn, MI | 1,213 | $12,627,746 | 513,883 | 329 | |
| San Francisco-Oakland-Fremont, CA | 619 | $11,149,478 | 376,221 | 364 |
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 97530 nationally
Physical Therapist in Private Practice accounts for 85% of payment for 97530 nationally in 2024, across 18 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Physical Therapist in Private Practice | 60,432 | 86% | $906,832,327 | 85% | 37,002,230 | 612 |
| Occupational Therapist in Private Practice | 8,753 | 12% | $148,196,276 | 14% | 6,215,915 | 710 |
| Orthopedic Surgery | 320 | 0.46% | $2,275,397 | 0.21% | 91,715 | 287 |
| Physical Medicine and Rehabilitation | 166 | 0.24% | $1,983,631 | 0.19% | 79,265 | 478 |
| Speech Language Pathologist | 41 | 0.06% | $628,053 | 0.06% | 27,841 | 679 |
| Nurse Practitioner | 38 | 0.05% | $510,333 | 0.05% | 24,224 | 637 |
| Internal Medicine | 28 | 0.04% | $485,614 | 0.05% | 19,672 | 703 |
| Family Practice | 44 | 0.06% | $463,182 | 0.04% | 18,897 | 429 |
| Neurology | 31 | 0.04% | $293,868 | 0.03% | 11,924 | 385 |
| Hand Surgery | 35 | 0.05% | $173,414 | 0.02% | 6,692 | 191 |
| Otolaryngology | 26 | 0.04% | $162,574 | 0.02% | 6,822 | 262 |
| Interventional Pain Management | 12 | 0.02% | $128,018 | 0.01% | 5,539 | 462 |
| Optometry | 15 | 0.02% | $119,588 | 0.01% | 4,556 | 304 |
| Rheumatology | 14 | 0.02% | $117,058 | 0.01% | 4,584 | 327 |
| Podiatry | 17 | 0.02% | $74,111 | <0.01% | 2,797 | 165 |
Not listed: 21 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 97530 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