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Market snapshot

96125 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96125 — Test to assess the ability to complete specific functional tasks applicable to environment

Billing groups
84
Named-group FFS services
5,344
FFS of Medicare
49%
Services YoY
+57.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,659 services

5,344 observed fee-for-service (50%) · ~5,315 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 — 96125 (CY2024)
TX 1,005 NJ 877 FL 764 CA 724 NM 561

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$504K
Named-group Medicare payments
$383K
Avg charge / svc
$242
Avg allowed / svc
$94
Avg payment / svc
$72
Average charge per group
$98 84 groups · avg submitted charge / service $890
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 96125 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SOUTHWEST CENTER ON AGING LAS CRUCES NM CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 4 561 $67,320 $120 100.0% (575) 532-5455
2 ADVANCED NEUROLOGIC REHABILITATION GILBERT WA PHYSICAL THERAPIST IN PRIVATE PRACTICE 35 272 $55,183 $203 61.3% (480) 699-4845
3 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 253 $86,465 $342 34.9% (858) 455-9100
4 ATLANTIC MEDICAL, PLLC WINDCREST TX INTERNAL MEDICINE 2 240 $74,563 $311 23.9% (210) 657-3700
5 FOOTHILLS NEUROLOGY P C PHOENIX AZ NEUROLOGY 10 202 $28,280 $140 44.6% (480) 961-2365
6 MINDS MATTER PLLC ABERDEEN SD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 178 $40,050 $225 100.0% (605) 725-2828
7 FOX REHABILITATION PHYSICAL THERAPY SERVICES LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 230 172 $34,022 $198 46.0% (877) 407-3422
8 FOX REHABILITATION SERVICES INC PLEASANTVILLE PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 157 $31,055 $198 80.9% (877) 407-3422
9 BRENDA CURTWRIGHT AND ASSOCIATES, PLLC TAMPA FL QUALIFIED SPEECH LANGUAGE PATHOLOGIST 3 139 $37,946 $273 18.2% (813) 252-6334
10 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 137 $121,930 $890 72.5% (414) 421-8400
11 FOX REHABILITATION SERVICES AZ LLC SUN CITY AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 36 118 $24,037 $204 26.0% (877) 407-3422
12 ATLANTIS PHYSICAL THERAPY ASSOC. TORRANCE CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 115 $14,895 $130 15.9% (310) 325-7404
13 RISE UP REHAB, LLC SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 116 112 $20,160 $180 11.1% (210) 572-4954
14 ST CLOUD HOSPITAL SAINT CLOUD MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 218 108 $32,850 $304 48.4% (320) 251-2700
15 STONEY BATTER FAMILY MEDICINE ASSOCIATES PA WILMINGTON DE FAMILY PRACTICE 12 106 $13,250 $125 100.0% (302) 234-9109
16 LEGACY HEALTHCARE SERVICES INC DURHAM TX INTERNAL MEDICINE 3859 106 $15,900 $150 10.5% (919) 419-9600
17 SALEM HEALTH SALEM OR PHYSICIAN ASSISTANT 477 102 $28,356 $278 100.0% (503) 561-5200
18 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 93 $21,669 $233 66.9% (801) 261-8346
19 HARBOR SPEECH PATHOLOGY PS GIG HARBOR WA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 4 87 $41,325 $475 19.6% (253) 851-0007
20 THE NEUROCOGNITIVE INSTITUTE LLC MOUNT ARLINGTON NJ CLINICAL PSYCHOLOGIST 7 81 $18,398 $227 9.2% (973) 601-0100
21 RWW SENIOR LIVING OUTPATIENT REHAB SERVICES LLC HENRICO FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 44 80 $22,275 $278 10.5% (866) 808-4133
22 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 76 $16,182 $213 21.7% —
23 NORTH TEXAS NEUROLOGY ALLIANCE PLLC WICHITA FALLS TX NEUROLOGY 2 63 $9,765 $155 6.3% (940) 322-1075
24 EMPOWERME REHABILITATION OKLAHOMA LLC TULSA OK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 58 $10,064 $174 47.9% (539) 207-5807
25 DR AJAI J AGARWAL MD PA EL PASO TX NURSE PRACTITIONER 4 56 $12,880 $230 5.6% —
26 ESD PT OT AND SLP PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 87 53 $9,275 $175 14.2% (718) 473-3808
27 FOX REHABILITATION SERVICES INC PLEASANTVILLE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 53 $11,710 $221 6.0% (877) 407-3422
28 KINGFISHER CLINIC PLLC KINGFISHER OK FAMILY PRACTICE 3 50 $13,900 $278 41.3% (405) 375-2350
29 SALEM HEALTH SALEM MA PHYSICIAN ASSISTANT 477 49 $13,622 $278 100.0% (503) 561-5200
30 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 49 $17,237 $352 22.0% (612) 672-7422
31 TOPEKA PHYSICIAN GROUP LLC TOPEKA KS NURSE PRACTITIONER 153 43 $10,191 $237 60.6% (785) 295-7800
32 WEST COAST THERAPY SPECIALIST LLC CLEARWATER FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 43 $10,753 $250 5.6% (727) 768-3877
33 MERCY MEDICAL CENTER CEDAR RAPIDS IA ANESTHESIOLOGY 306 41 $9,776 $238 75.9% (319) 398-6011
34 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 41 $8,110 $198 66.1% (877) 407-3422
35 TRIPP FAMILY MEDICINE, INC. TWIN FALLS ID PHYSICIAN ASSISTANT 4 40 $11,200 $280 37.0% (208) 933-4400
36 MEDLIFE HEALTHCARE LLC BUFORD GA EMERGENCY MEDICINE 7 39 $9,648 $247 23.2% (770) 209-2787
37 MULTIPLE SCLEROSIS SPECIALTY CENTER HORSHAM PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 16 37 $11,235 $304 19.1% (215) 259-6699
38 RESTORATIVE THERAPY AND WELLNESS, LLC ATLANTA GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 34 $9,072 $267 20.2% (404) 236-0934
39 PHYSICAL THERAPY AT ACAC CHARLOTTESVILLE VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 53 33 $4,972 $151 44.0% (434) 817-7848
40 FOX REHABILITATION SERVICES INC PLEASANTVILLE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 32 $6,330 $198 8.6% (877) 407-3422
41 RAINEY PAIN AND PERFORMANCE PC SIERRA VISTA AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 30 $4,350 $145 6.6% (520) 459-1386
42 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 30 $13,200 $440 6.6% (800) 603-0558
43 THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC NEENAH WI NURSE PRACTITIONER 59 30 $12,450 $415 15.9% (920) 725-9373
44 EMPOWERME REHABILITATION LLC DALLAS AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 30 $4,850 $162 100.0% (469) 489-1536
45 UNIVERSITY OF MARYLAND ST JOSEPH REHABILITATION MEDICINE LLC TOWSON MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 14 29 $5,549 $191 8.3% (410) 337-1349
46 HEALTHSPAN MD PLLC PHOENIX AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 29 $8,529 $294 6.4% (480) 847-2575
47 EMPOWERME REHABILITATION MISSOURI LLC SAINT CHARLES KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 223 28 $4,400 $157 39.4% (636) 242-1764
48 ADULT SPEECH THERAPY SERVICES LLC ASHTON MD QUALIFIED SPEECH LANGUAGE PATHOLOGIST 4 27 $3,500 $130 7.7% (301) 323-8486
49 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 27 $12,128 $449 3.7% (800) 926-8273
50 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON SEATTLE WA PHYSICIAN ASSISTANT 1531 26 $5,164 $199 5.9% (206) 721-5600
51 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND TX NURSE PRACTITIONER 392 26 $5,200 $200 2.6% (606) 325-6888
52 LEA'S PLACE LLC PIKESVILLE VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 25 $4,228 $169 33.3% (410) 292-8725
53 SALUS CAPITAL INC BALTIMORE MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 25 25 $3,750 $150 7.1% (410) 529-0348
54 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 25 $12,175 $487 3.5% (415) 600-1020
55 SOUTHERN MEDICAL ASSOCIATES PLLC FRISCO TX INTERNAL MEDICINE 3 25 $3,900 $156 2.5% (214) 436-4949
56 SRISAI P C FORT WAYNE IN INTERNAL MEDICINE 2 24 $3,600 $150 33.8% (260) 459-1780
57 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 24 $6,720 $280 22.2% (208) 381-4210
58 NEXT PT GROUP FLORIDA, LLC TEMPLE TERRACE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 40 24 $4,200 $175 3.1% (850) 380-4657
59 NORTHERN MEDICAL GROUP, PLLC BREWSTER NY INTERNAL MEDICINE 35 23 $7,775 $338 6.1% (845) 279-5187
60 REGIONS HOSPITAL SAINT PAUL MN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 225 23 $12,558 $546 10.3% (651) 254-7700
61 ODOM SPORTS MEDICINE PA EDEN PRAIRIE MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 70 23 $5,750 $250 10.3% (952) 224-1919
62 CORTLYN THERAPY PC ELMHURST IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 146 22 $2,901 $132 55.0% (630) 413-5800
63 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 22 $16,808 $764 11.6% (608) 260-2900
64 BREAKTHROUGH SPEECH, LLC ANACORTES WA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 2 22 $4,180 $190 5.0% (360) 230-8010
65 UNION ASSOCIATED PHYSICIANS CLINIC, LLC TERRE HAUTE IN NURSE PRACTITIONER 229 22 $6,106 $278 31.0% (812) 232-0564
66 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 21 $4,683 $223 33.9% (864) 255-1901
67 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 20 $9,580 $479 9.0% (952) 993-3123
68 LEGACY HEALTHCARE SERVICES INC DURHAM NC INTERNAL MEDICINE 3859 20 $2,722 $136 100.0% (919) 419-9600
69 COMPLETE BALANCE SOLUTION INSTITUTE OF PHYSIOTHERAPY INC LAGUNA HILLS CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 26 20 $3,600 $180 2.8% (949) 340-6927
70 HONA MEDICAL GROUP PA LAKE OSWEGO OH QUALIFIED SPEECH LANGUAGE PATHOLOGIST 8 19 $9,025 $475 100.0% (847) 157-0045
71 FOX REHAB AGENCY MS LLC STARKVILLE MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 66 19 $3,758 $198 100.0% (877) 407-3422
72 DRS LEWIS AND LEWIS PA WINTER PARK FL FAMILY PRACTICE 2 19 $3,800 $200 2.5% (407) 647-0199
73 CENTRAL COAST LANGUAGE AND LEARNING CENTER MONTEREY CA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 6 18 $2,275 $126 2.5% (831) 645-7900
74 BEE WELL HEALTHCARE PLLC PHOENIX AZ NURSE PRACTITIONER 3 18 $3,060 $170 4.0% (480) 694-7042
75 DALLAS NEUROPSYCHOLOGY PLLC ROCKWALL TX CLINICAL PSYCHOLOGIST 2 17 $3,091 $182 1.7% (214) 620-5580
76 COMPREHENSIVE THERAPEUTICS LTD STATESVILLE VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 17 $3,281 $193 22.7% (704) 994-5065
77 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 16 $7,152 $447 1.8% —
78 CHYMIYMATTYMD LLC POULSBO WA FAMILY PRACTICE 7 15 $2,635 $176 3.4% (360) 979-0569
79 PARAGON OUTPATIENT REHABILITATION SERVICES LLC WINSTON SALEM NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 15 $1,668 $111 1.7% (336) 397-4200
80 LEGACY HEALTHCARE SERVICES INC DURHAM TN INTERNAL MEDICINE 3859 15 $2,041 $136 17.9% (919) 419-9600
81 EMPOWERME REHABILITATION LLC DALLAS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 14 $1,826 $130 1.4% (469) 489-1536
82 EMPOWERME REHABILITATION COLORADO, LLC DENVER CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 98 14 $2,200 $157 56.0% (314) 673-6747
83 OHSU OUTPATIENT CLINICAL SERVICES LLC BEAVERTON NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 21 13 $3,598 $277 1.5% (503) 494-3151
84 TEXOMA NEUROLOGY ASSOCIATES, PA PLANO TX NEUROLOGY 25 13 $2,600 $200 1.3% 90389351414310
85 FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC VIRGINIA BEACH AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 190 13 $1,833 $141 100.0% (888) 531-2204
86 SPEAK YOUR LEGACY INC LINDENHURST NY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 4 12 $2,148 $179 3.2% (631) 505-0576
87 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 12 $2,374 $198 3.4% (865) 270-3178
88 SPECTRUM FITNESS, LLC NORTHFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 12 $1,440 $120 1.4% (609) 204-4849
89 ANEW THERAPY AND WELLNESS LLC TERRE HAUTE IN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 29 11 $1,078 $98 15.5% (812) 298-8209
90 LIFELINE PRIMARY CARE, INC. LILBURN GA FAMILY PRACTICE 2 11 $1,650 $150 6.5% (770) 559-3501

*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 →