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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92609 Therapy service for use of speech-generating device with programming CPT · Treatment
Classification Treatment Physical, Occupational, and Speech Therapy Speech Therapy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 7,655 services ▲ 48.2% YoY · 585 beneficiaries (CY2024, Medicare FFS)
Medicare paid $628K · $82.05 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
6,187
FFS of Medicare
49%
Services YoY
+48.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~12,801 services

6,187 observed fee-for-service (48%) · ~6,614 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 — 92609 (CY2024)

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

Named-group submitted charges
$837K
Named-group allowed amount
$652K
Named-group Medicare payments
$513K
Avg charge / svc
$135
Avg allowed / svc
$105
Avg payment / svc
$83
Average charge per group
$111 6 groups · avg submitted charge / service $283
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 92609 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 92609 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 AAC SPECIALISTS, LLC GREENWOOD VILLAGE CO QUALIFIED SPEECH LANGUAGE PATHOLOGIST 5 4,461 $535,375 $120 premium 86.1% (303) 204-5188
2 THERALYMPIC SPEECH THERAPY PLLC RONKONKOMA NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 546 $81,180 $149 premium 42.4% (631) 240-3579
3 WIHD INC VALHALLA NY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 37 378 $83,160 $220 premium 29.4%
4 ASPIRE OF WESTERN NEW YORK INC CHEEKTOWAGA NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 26 268 $29,777 $111 premium 20.8% (716) 505-5655
5 SALUS CAPITAL INC BALTIMORE MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 25 215 $30,100 $140 premium 100.0% (410) 529-0348
6 WIHD INC VALHALLA CT QUALIFIED SPEECH LANGUAGE PATHOLOGIST 37 201 $44,220 $220 premium 100.0%
7 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 118 $33,402 $283 premium 100.0% (314) 747-3000

*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 →