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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92522 Evaluation of speech sound production CPT · Treatment
Classification Treatment Physical, Occupational, and Speech Therapy Speech Therapy (CMS RBCS)
First observed 2014
National scale 2,442 services ▲ 19.9% YoY · 1,914 beneficiaries (CY2024, Medicare FFS)
Medicare paid $200K · $81.91 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
28
Named-group FFS services
1,917
FFS of Medicare
49%
Services YoY
+19.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,159 services

1,917 observed fee-for-service (46%) · ~2,242 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 92522 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$614K
Named-group allowed amount
$203K
Named-group Medicare payments
$156K
Avg charge / svc
$320
Avg allowed / svc
$106
Avg payment / svc
$82
Average charge per group
$111 28 groups · avg submitted charge / service $698
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 92522 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 92522 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 EAR INSTITUTE OF TEXAS P A SAN ANTONIO TX OTOLARYNGOLOGY 11 677 $148,073 $219 premium 96.9% (210) 363-6936
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 217 $62,814 $289 premium 77.0% (507) 284-2511
3 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 186 $104,160 $560 premium 43.3% (212) 305-8559
4 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 178 $97,544 $548 premium 67.7% (904) 953-2000
5 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 72 $32,400 $450 premium 72.7% (800) 603-0558
6 METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY AND ACUPUNCTURE PLL GARDEN CITY NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 461 56 $6,190 $111 premium 13.0% (516) 745-8070
7 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 46 $16,866 $367 premium 36.8% (858) 455-9100
8 UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC MINNEAPOLIS MN DIAGNOSTIC RADIOLOGY 620 46 $32,108 $698 premium 16.3% (612) 672-7422
9 SLPTELE LLC IRVINE CT QUALIFIED SPEECH LANGUAGE PATHOLOGIST 97 36 $9,900 $275 premium 72.0% (877) 757-8353
10 OUTREACH PHYSICAL AND OCCUPATIONAL THERAPY AND SPEECH REHABILITATION, NEW YORK NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 35 $5,603 $160 premium 8.1%
11 FOX REHABILITATION PHYSICAL THERAPY SERVICES LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 230 33 $5,237 $159 premium 7.7% (877) 407-3422
12 IDAHO VOICE AND SWALLOW CENTER LLC MERIDIAN ID QUALIFIED SPEECH LANGUAGE PATHOLOGIST 2 30 $3,740 $125 premium 100.0% (208) 298-9949
13 HORIZON REHABILITATION AND SPORTS MEDICINE LIMITED PARTNERSHIP HILTON HEAD ISLAND SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 21 27 $7,371 $273 premium 100.0% (843) 836-7342
14 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 26 $13,104 $504 premium 6.0% (516) 240-2700
15 INTERMOUNTAIN EAR NOSE AND THROAT SPECIALISTS LLC DRAPER UT OTOLARYNGOLOGY 26 25 $6,800 $272 premium 100.0% (801) 328-2522
16 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 23 $5,589 $243 premium 100.0% (314) 747-3000
17 NOVA SOUTHEASTERN UNIVERSITY INC DAIVE FL OPTOMETRY 99 22 $3,740 $170 premium 8.4% (954) 262-4343
18 JMB THERAPY SERVICES LLC BERWYN MN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 25 19 $4,545 $239 premium 6.7% (610) 225-2451
19 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 19 $8,324 $438 premium 15.2% (800) 926-8273
20 HARBOR SPEECH PATHOLOGY PS GIG HARBOR WA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 4 18 $6,300 $350 premium 100.0% (253) 851-0007
21 SAINT AUGUSTINE REHABILITATION SPECIALISTS LLC ST AUGUSTINE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 37 17 $2,715 $160 premium 6.5% (904) 217-4259
22 SPEECH BY THE BEACH CONSULTING LLC NAPLES FL QUALIFIED SPEECH LANGUAGE PATHOLOGIST 2 16 $4,000 $250 premium 6.1% (239) 631-1988
23 SHORE ORTHOPEDICS, INC EASTON MD PHYSICIAN ASSISTANT 28 14 $3,094 $221 premium 31.1% 4108208226107
24 JMB THERAPY SERVICES LLC BERWYN PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 25 14 $3,349 $239 premium 100.0% (610) 225-2451
25 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 14 $9,016 $644 premium 3.3% (212) 263-9700
26 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 14 $3,570 $255 premium 100.0% (304) 598-4865
27 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 13 $2,795 $215 premium 13.1% (888) 484-3258
28 PIONEER VALLEY SPEECH AND SWALLOWING SOLUTIONS LLC WILBRAHAM MA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 3 13 $3,510 $270 premium 100.0% (413) 289-4746
29 SOUTH BAY SPEECH THERAPY CLINIC PC TORRANCE CA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 3 11 $1,320 $120 premium 8.8% (267) 234-4679

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →