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Market snapshot

97113 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97113 — Therapy procedure using water pool to exercises, each 15 minutes

Billing groups
639
Named-group FFS services
973,158
FFS of Medicare
49%
Services YoY
-3.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,913,866 services

973,158 observed fee-for-service (51%) · ~940,708 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 — 97113 (CY2024)

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

Named-group submitted charges
$71.8M
Named-group allowed amount
$27.0M
Named-group Medicare payments
$20.7M
Avg charge / svc
$74
Avg allowed / svc
$28
Avg payment / svc
$21
Average charge per group
$30 639 groups · avg submitted charge / service $448
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Specialty market — Occupational Therapist In Private Practice: 34,145 services across 16 groups; top group 24%. See Occupational Therapist In Private Practice across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 97113 services, CY2024
#Physician group City St Specialty Providers 97113 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 8,330 $743,780 $89 premium 14.9% 71895188002102
2 H2O-4-LIFE AQUATIC AND BALANCE REHAB LLC NOKOMIS FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 7,505 $559,025 $74 premium 10.9% (941) 400-1505
3 ANDERSEN PHYSICAL THERAPY INC MODESTO CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 3,971 $198,806 $50 premium 1.7% (209) 549-4626
4 BLUEMARK REHAB LLC LAKEWOOD NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 3,869 $284,705 $74 premium 6.9% (718) 207-7735
5 DEEP CREEK PHYSICAL THERAPY INC PORT CHARLOTTE FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 2,887 $206,170 $71 premium 4.2% (941) 264-8215
6 COMPREHENSIVE REHAB INCORPORATED CLINTON IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 1,600 $88,000 $55 premium 18.4% (563) 241-4230
7 SOUTHWEST THERAPY SPECIALISTS PC PHOENIX AZ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 1,303 $78,180 $60 premium 3.2% (602) 249-9129
8 INMOTION PT INC TOMS RIVER NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 1,074 $58,168 $54 premium 3.7% (848) 667-0740
9 CEREBRAL PALSY, INC. GREEN BAY WI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 695 $98,071 $141 premium 9.1% 92033711221244
10 F. WHITWORTH CORPORATION SHERMAN TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 455 $29,088 $64 premium 0.3% (903) 518-5678
11 BLUEMARK REHAB LLC LAKEWOOD NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 414 $22,435 $54 premium 1.4% (718) 207-7735
12 HARP OCCUPATIONAL THERAPY AND WELLNESS LLC HAMILTON ID OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 397 $26,663 $67 premium 2.3% (406) 201-9213
13 I AM REHAB LLC FORT SCOTT KS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 388 $36,860 $95 premium 2.4% (620) 223-7073
14 ODESSA PHYSICAL THERAPY PC ODESSA TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 380 $24,700 $65 premium 0.3% (432) 366-9541
15 SENTRY SAFETY AND PHYSICAL THERAPY SPECIALISTS LLC ROSWELL NM OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 349 $21,987 $63 premium 1.7% (575) 622-6260
16 COMMONWEALTH HAND THERAPY LEXINGTON KY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 37 266 $19,950 $75 premium 3.3% (859) 447-8600
17 SAY YES THERAPY AND WELLNESS ORLANDO FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 262 $13,100 $50 premium 0.4% (321) 348-0317

*"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 →