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Market snapshot

97112 in ME CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97112 — Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

Billing groups
60
Named-group FFS services
88,442
FFS of Medicare
41%
Services YoY
+13.1%
FFS enrollment -4.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~207,258 services

88,442 observed fee-for-service (43%) · ~118,816 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

Named-group submitted charges
$6.4M
Named-group allowed amount
$2.4M
Named-group Medicare payments
$1.8M
Avg charge / svc
$72
Avg allowed / svc
$27
Avg payment / svc
$21
Average charge per group
$35 60 groups · avg submitted charge / service $143
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Specialty market — Occupational Therapist In Private Practice: 11,325 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Occupational Therapist In Private Practice across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 97112 services, CY2024
#Physician group City Specialty Providers 97112 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 LABRIE-HUNT HOLDINGS, LLC KITTERY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 4,122 $247,320 $60 premium 3.4% (603) 743-8790
2 MAGNOLIA OUTPATIENT PHYSICAL THERAPY SERVICES, LLC BELFAST OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 3,374 $236,145 $70 premium 2.8% (207) 447-0780
3 MULTIPLE SCLEROSIS SPECIALTY CENTER LLC WALTHAM OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 2,613 $159,524 $61 premium 2.2% (781) 895-9500
4 PORTLAND CHIROPRACTIC NEUROLOGY, LLC PORTLAND OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 789 $43,217 $55 premium 0.7% (207) 699-5600
5 MAYNESAYRE PC SCARBOROUGH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 427 $27,977 $66 premium 0.4% (207) 303-3030

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →