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Market snapshot

97113 in NY CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
35
Named-group FFS services
40,452
FFS of Medicare
47%
Services YoY
-8.8%
FFS enrollment -2.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~84,527 services

40,452 observed fee-for-service (48%) · ~44,075 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
$3.2M
Named-group allowed amount
$1.2M
Named-group Medicare payments
$937K
Avg charge / svc
$80
Avg allowed / svc
$30
Avg payment / svc
$23
Average charge per group
$30 35 groups · avg submitted charge / service $184
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 97113 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 8,330 $743,780 $89 14.9% 71895188002102
2 METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY AND ACUPUNCTURE PLL GARDEN CITY PHYSICAL THERAPIST IN PRIVATE PRACTICE 461 4,118 $391,210 $95 7.4% (516) 745-8070
3 BLUEMARK REHAB LLC LAKEWOOD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 3,869 $284,705 $74 6.9% (718) 207-7735
4 CAMPILII-SNYDER PHYSICAL THERAPY PC WAPPINGERS FALLS PHYSICAL THERAPIST IN PRIVATE PRACTICE 18 2,737 $110,040 $40 4.9% (845) 297-4789
5 SUTTON PLACE PHYSICAL THERAPY PC NEW YORK PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 2,637 $145,400 $55 4.7% (212) 317-1600
6 IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH LANGUAGE PA BROOKLYN PHYSICAL THERAPIST IN PRIVATE PRACTICE 375 2,230 $301,050 $135 4.0% (718) 230-1180
7 NICOLLA AND ASSOCIATES PT AND OT SERVICES PLLC ALBANY PHYSICAL THERAPIST IN PRIVATE PRACTICE 27 1,666 $58,138 $35 3.0% (518) 438-7926
8 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 1,524 $280,453 $184 2.7% (718) 767-0610
9 SHUMAN PHYSICAL THERAPY ASSOCIATES PC ROCHESTER PHYSICAL THERAPIST IN PRIVATE PRACTICE 142 1,517 $91,515 $60 2.7% (585) 442-6067
10 THOMAS JANIK PHYSICAL THERAPY PC VESTAL PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 1,365 $81,900 $60 2.4% (607) 754-1776
11 KUSS PHYSICAL THERAPY PLLC CENTRAL SQ PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 1,062 $32,865 $31 1.9% (315) 668-0123
12 ADVANCED CARE PHYSICAL THERAPY AQUATICS AND FITNESS PC NIAGARA FALLS PHYSICAL THERAPIST IN PRIVATE PRACTICE 22 991 $54,505 $55 1.8% (716) 282-2888
13 WEST SIDE PHYSICAL THERAPY, PC SYRACUSE PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 710 $30,530 $43 1.3% (315) 484-9447
14 ROCKAWAY BEACH PHYSICAL THERAPY OF NY, PLLC ROCKAWAY PARK PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 695 $69,500 $100 1.2% (718) 634-3211
15 SYRACUSE PHYSICAL THERAPY PARTNERS MILLSBORO PHYSICAL THERAPIST IN PRIVATE PRACTICE 17 643 $49,959 $78 1.2% (302) 945-4250
16 SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC NEW YORK PHYSICAL THERAPIST IN PRIVATE PRACTICE 524 605 $25,257 $42 1.1% (212) 529-5966
17 PERILLI PHYSICAL THERAPY PC LOCKPORT PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 563 $17,160 $30 1.0% (716) 433-3368
18 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NURSE PRACTITIONER 372 520 $62,400 $120 0.9% (845) 703-6999
19 HEALTH AQUATIC WELLNESS OF CHAUTAUQUA PHYSICAL THERAPY PLLC FLUVANNA PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 516 $56,760 $110 0.9% (716) 708-6179
20 GENESEE VALLEY PHYSICAL THERAPY AND SPORTS REHAB PC ROCHESTER PHYSICAL THERAPIST IN PRIVATE PRACTICE 39 515 $34,796 $68 0.9% (585) 355-4310
21 MAINE STRONG PHYSICAL THERAPY PA SCARBOROUGH PHYSICAL THERAPIST IN PRIVATE PRACTICE 28 434 $26,040 $60 0.8% (207) 303-0612
22 BALANCED HEALTH PHYSICAL THERAPY GLOVERSVILLE PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 406 $21,900 $54 0.7% (518) 775-9554
23 MARTIN R KOSLOSKY PT PC BUFFALO PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 391 $17,595 $45 0.7% (716) 874-2759
24 CHRISTOPHER HORSFORD PT PC SHIRLEY PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 381 $36,195 $95 0.7% (631) 395-9090
25 JULIE S BELLONE PT PLLC WATERLOO PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 281 $15,455 $55 0.5% (315) 539-4683
26 PROEX PHYSICAL THERAPY LLC BOSTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 164 281 $51,253 $182 0.5% (857) 350-4544
27 REDDY CARE PHYSICAL THERAPY PC GREAT NECK PHYSICAL THERAPIST IN PRIVATE PRACTICE 133 253 $25,300 $100 0.5% (516) 829-0030
28 ADVANCE THERAPY, PC BRYAN PHYSICAL THERAPIST IN PRIVATE PRACTICE 14 250 $35,000 $140 0.4% (979) 774-9958
29 ACHIEVE PHYSICAL THERAPY, PC SYRACUSE PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 185 $10,582 $57 0.3% (315) 475-7121
30 COLUMBIA PHYSICAL THERAPY PC VALATIE PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 156 $7,020 $45 0.3% (518) 758-7616
31 NEXT LEVEL PHYSICAL THERAPY HAMILTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 156 $14,820 $95 0.3% (609) 436-9089
32 CLUTCH PHYSICAL THERAPY PLLC NEW YORK PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 149 $14,900 $100 0.3% (212) 203-6802
33 SOLUTIONS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC ALEXANDRIA PHYSICAL THERAPIST IN PRIVATE PRACTICE 26 110 $14,850 $135 0.2% (703) 299-3111
34 NEW YORK UNIVERSITY NEW YORK DIAGNOSTIC RADIOLOGY 5704 109 $12,675 $116 0.2% (212) 263-9700
35 MEDLEY SWIM SYSTEMS INC LAKEWAY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 97 $14,550 $150 0.2% (512) 261-0620

*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 →