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Market snapshot

97130 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97130 — Therapy procedure for a range of mental processes, each additional 15 minutes

Billing groups
128
Named-group FFS services
335,008
FFS of Medicare
49%
Services YoY
+15.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~663,122 services

335,008 observed fee-for-service (51%) · ~328,114 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 — 97130 (CY2024)
NJ 52,856 PA 49,760 FL 47,959 NY 43,981 TX 28,682

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

Named-group submitted charges
$14.8M
Named-group allowed amount
$7.1M
Named-group Medicare payments
$5.6M
Avg charge / svc
$44
Avg allowed / svc
$21
Avg payment / svc
$17
Average charge per group
$21 128 groups · avg submitted charge / service $250
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 97130 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FOX REHABILITATION SERVICES INC PLEASANTVILLE PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 40,030 $1,727,696 $43 80.4% (877) 407-3422
2 FOX REHABILITATION SERVICES INC PLEASANTVILLE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 25,820 $1,114,391 $43 48.8% (877) 407-3422
3 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 19,417 $836,287 $43 77.1% (877) 407-3422
4 ACTION THERAPY GROUP LLC PENSACOLA FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 63 18,372 $679,764 $37 38.3% (850) 741-6715
5 FOX REHABILITATION PHYSICAL THERAPY SERVICES LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 230 14,651 $632,317 $43 33.3% (877) 407-3422
6 THRIVING MINDS HEALTH SERVICES CORP LAS VEGAS NV CLINICAL PSYCHOLOGIST 2 11,737 $254,928 $22 85.4% (702) 483-8017
7 COMPLETE NEUROPSYCHOLOGY PC ROCKVILLE CENTRE FL CLINICAL PSYCHOLOGIST 2 8,343 $625,725 $75 17.4% (516) 696-8401
8 FOX REHABILITATION SERVICES OH, LLC WORTHINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 8,043 $347,179 $43 33.1% (877) 407-3422
9 FOX REHABILITATION SERVICES SLP MO LLC SAINT LOUIS MO QUALIFIED SPEECH LANGUAGE PATHOLOGIST 13 7,646 $330,088 $43 67.3% (877) 407-3422
10 FOX REHAB INDIANA LLC CARMEL IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 94 6,551 $282,741 $43 67.4% (877) 407-3422
11 COMPLETE NEUROPSYCHOLOGY PC ROCKVILLE CENTRE NY CLINICAL PSYCHOLOGIST 2 6,323 $474,228 $75 14.4% (516) 696-8401
12 FOX REHABILITATION SERVICES WI LLC WEST BEND WI PHYSICAL THERAPIST IN PRIVATE PRACTICE 136 6,244 $269,491 $43 64.0% (262) 338-0092
13 EMPOWERME REHABILITATION OKLAHOMA LLC TULSA OK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 6,006 $212,707 $35 59.1% (539) 207-5807
14 FOX REHAB AGENCY MS LLC STARKVILLE MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 66 5,886 $254,040 $43 41.5% (877) 407-3422
15 TRI-VISTA REHAB, INC. TUPELO MS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 30 5,751 $253,044 $44 40.5% —
16 FOX REHABILITATION SERVICES LLC CHANTILLY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 298 5,306 $229,007 $43 52.0% (703) 810-3992
17 FOX REHAB SLP IA PLLC NORWALK IA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 24 5,143 $222,018 $43 55.9% (877) 407-3422
18 FOX REHAB SLP AL LLC HUNTSVILLE AL QUALIFIED SPEECH LANGUAGE PATHOLOGIST 14 4,783 $206,434 $43 99.1% (877) 407-3422
19 FOX REHABILITATION SERVICES INC PLEASANTVILLE DE PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 4,352 $187,832 $43 76.7% (877) 407-3422
20 FOX REHABILITATION SERVICES INC PLEASANTVILLE MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 3,877 $167,418 $43 32.4% (877) 407-3422
21 EMPOWERME REHABILITATION LLC DALLAS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 3,797 $120,192 $32 13.2% (469) 489-1536
22 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 2,860 $123,438 $43 11.8% (877) 407-3422
23 ELLIS HEALTH GROUP LLC OVERLAND PARK KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 14 2,693 $69,859 $26 29.7% (816) 809-1085
24 FOX REHABILITATION SERVICES MI LLC CANTON MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 83 2,689 $116,057 $43 47.6% (877) 407-3422
25 EMPOWERME REHABILITATION LLC DALLAS TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 2,238 $81,480 $36 31.2% (469) 489-1536
26 FOX REHAB SLP FL LLC SARASOTA FL QUALIFIED SPEECH LANGUAGE PATHOLOGIST 24 2,084 $89,989 $43 4.3% (877) 407-3422
27 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 2,076 $147,479 $71 17.3% (858) 455-9100
28 EMPOWERME WELLNESS KANSAS CITY LLC KANSAS CITY KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 147 2,060 $64,787 $31 22.7% (816) 631-0847
29 FOX REHAB INDIANA LLC CARMEL MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 94 1,986 $85,716 $43 35.2% (877) 407-3422
30 FOX REHABILITATION SERVICES TX LLC ALLEN TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 124 1,975 $85,241 $43 6.9% (877) 407-3422
31 MULTIPLE SCLEROSIS SPECIALTY CENTER LLC WALTHAM NH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 1,958 $129,228 $66 80.5% (781) 895-9500
32 EMPOWERME REHABILITATION ILLINOIS LLC EDWARDSVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 355 1,942 $75,489 $39 12.2% (618) 706-9759
33 SYNERGY CARE SOUTHEAST LLC DALLAS LA PHYSICAL THERAPIST IN PRIVATE PRACTICE 158 1,932 $96,600 $50 28.8% (214) 307-1288
34 EMPOWERME REHABILITATION ILLINOIS LLC EDWARDSVILLE IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 355 1,920 $75,725 $39 19.8% (618) 706-9759
35 HOME CARE HEALTH SPECIALISTS LLC MIDDLETOWN PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 35 1,847 $55,410 $30 3.7% (855) 657-8723
36 CLEVELAND HEARING AND SPEECH CENTER CLEVELAND OH QUALIFIED AUDIOLOGIST 11 1,803 $77,817 $43 7.4% (216) 231-8787
37 PAXXON HEALTHCARE SERVICES LLC NAPERVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 156 1,780 $53,400 $30 11.2% (630) 778-3475
38 TOTAL CARE THERAPY LLC DUBLIN OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 102 1,727 $74,537 $43 7.1% (740) 953-1184
39 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,647 $128,390 $78 32.2% (800) 603-0558
40 MULTIPLE SCLEROSIS SPECIALTY CENTER LLC WALTHAM MA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 1,608 $106,538 $66 45.9% (781) 895-9500
41 FOX REHABILITATION SERVICES LA LLC BATON ROUGE LA PHYSICAL THERAPIST IN PRIVATE PRACTICE 25 1,540 $66,466 $43 22.9% (877) 407-3422
42 THE NEUROCOGNITIVE INSTITUTE LLC MOUNT ARLINGTON NJ CLINICAL PSYCHOLOGIST 7 1,533 $69,966 $46 2.9% (973) 601-0100
43 FOX REHABILITATION SERVICES INC PLEASANTVILLE SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 1,511 $65,215 $43 6.0% (877) 407-3422
44 EMPOWERME REHABILITATION KENTUCKY, LLC LEXINGTON KY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 119 1,485 $53,641 $36 51.5% (844) 502-7996
45 AT HOME BY ENHANCE THERAPIES LLC HACKENSACK NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 147 1,429 $53,455 $37 2.7% (732) 987-3833
46 FOX REHABILITATION SERVICES INC PLEASANTVILLE VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 1,413 $60,985 $43 13.8% (877) 407-3422
47 EMPOWERME REHABILITATION LLC DALLAS AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 1,374 $45,253 $33 66.5% (469) 489-1536
48 EMPOWERME REHABILITATION LLC DALLAS AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 1,358 $49,907 $37 26.6% (469) 489-1536
49 ACTION THERAPY GROUP LLC PENSACOLA GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 63 1,349 $49,913 $37 10.8% (850) 741-6715
50 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,345 $65,905 $49 55.3% (801) 261-8346
51 LEGACY HEALTHCARE SERVICES INC DURHAM TN INTERNAL MEDICINE 3859 1,339 $36,822 $28 18.6% (919) 419-9600
52 WV THERAPY SERVICES LLC BRIDGEPORT VA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 1,226 $25,962 $21 12.0% (304) 842-9887
53 EXPRESSABLE SPEECH-LANGUAGE PATHOLOGY PC LOS ANGELES OH QUALIFIED SPEECH LANGUAGE PATHOLOGIST 99 1,212 $52,310 $43 5.0% (512) 399-0064
54 FOX REHABILITATION SERVICES OH, LLC WORTHINGTON GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 1,188 $51,274 $43 9.5% (877) 407-3422
55 EMPOWERME REHABILITATION FLORIDA, LLC STUART FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 161 1,165 $42,483 $36 2.4% (877) 367-9772
56 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 1,136 $49,030 $43 9.5% (865) 270-3178
57 MY WELLNESS TEAM LLC INDIANAPOLIS OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 31 1,098 $65,880 $60 4.5% (866) 360-9355
58 MULTIPLE SCLEROSIS SPECIALTY CENTER HORSHAM NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 16 1,089 $71,835 $66 2.1% (215) 259-6699
59 EMPOWERME REHABILITATION WA PC ISSAQUAH WA PHYSICAL THERAPIST IN PRIVATE PRACTICE 51 1,061 $34,205 $32 25.0% (425) 225-7282
60 WEST COAST THERAPY SPECIALIST LLC CLEARWATER FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 1,050 $104,962 $100 2.2% (727) 768-3877
61 EMPOWERME REHABILITATION COLORADO, LLC DENVER KS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 98 1,050 $33,045 $31 11.6% (314) 673-6747
62 RWW SENIOR LIVING OUTPATIENT REHAB SERVICES LLC HENRICO FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 44 1,038 $61,242 $59 2.2% (866) 808-4133
63 COMPREHENSIVE THERAPEUTICS LTD STATESVILLE NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 1,032 $40,248 $39 25.5% (704) 994-5065
64 ATTAIN PHYSICAL THERAPY SHREWSBURY NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 70 982 $78,560 $80 1.9% (855) 428-8246
65 PAXXON HEALTHCARE SERVICES LLC NAPERVILLE PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 156 978 $29,340 $30 2.0% (630) 778-3475
66 PURE HEALTH THERAPY SERVICES LLC MADISON MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 947 $28,410 $30 6.7% (601) 856-8041
67 FOX REHABILITATION PHYSICAL THERAPY SERVICES LLC NEW YORK NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 230 944 $40,743 $43 1.8% (877) 407-3422
68 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 920 $35,880 $39 9.1% (865) 270-3178
69 WV THERAPY SERVICES LLC BRIDGEPORT WV OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 902 $19,103 $21 33.1% (304) 842-9887
70 FOX REHABILITATION SERVICES SLP MO LLC SAINT LOUIS IA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 13 897 $38,715 $43 9.8% (877) 407-3422
71 FOX REHABILITATION GA, LLC DULUTH GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 892 $36,372 $41 7.1% (877) 407-3422
72 EMPOWERME REHABILITATION COLORADO, LLC DENVER CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 98 865 $27,204 $31 17.1% (314) 673-6747
73 FOX REHABILITATION SERVICES OH, LLC WORTHINGTON KY PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 856 $36,945 $43 29.7% (877) 407-3422
74 EMPOWERME REHABILITATION LLC DALLAS FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 854 $31,848 $37 1.8% (469) 489-1536
75 GAIT MECHANICS INC LAKE WORTH CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 849 $25,470 $30 16.8% (561) 350-5855
76 NEXT PT GROUP FLORIDA, LLC TEMPLE TERRACE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 40 841 $33,640 $40 1.8% (850) 380-4657
77 FOX REHABILITATION SERVICES WI LLC WEST BEND IA PHYSICAL THERAPIST IN PRIVATE PRACTICE 136 839 $36,211 $43 9.1% (262) 338-0092
78 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 827 $32,253 $39 5.8% (865) 270-3178
79 FOX REHABILITATION SERVICES OH, LLC WORTHINGTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 827 $35,693 $43 3.3% (877) 407-3422
80 FOX REHAB SLP NC PLLC MATTHEWS NC QUALIFIED SPEECH LANGUAGE PATHOLOGIST 6 800 $34,528 $43 19.8% (877) 407-3422
81 FOX REHAB MA LLC ANDOVER RI PHYSICAL THERAPIST IN PRIVATE PRACTICE 17 770 $33,084 $43 43.4% —
82 PAXXON HEALTHCARE SERVICES LLC NAPERVILLE MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 156 768 $23,040 $30 6.4% (630) 778-3475
83 MINDS MATTER PLLC ABERDEEN SD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 761 $34,245 $45 100.0% (605) 725-2828
84 EMPOWERME REHABILITATION LLC DALLAS LA PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 750 $22,428 $30 11.2% (469) 489-1536
85 DALLAS NEUROPSYCHOLOGY PLLC ROCKWALL TX CLINICAL PSYCHOLOGIST 2 734 $31,529 $43 2.6% (214) 620-5580
86 MULTIPLE SCLEROSIS SPECIALTY CENTER HORSHAM PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 16 726 $47,904 $66 1.5% (215) 259-6699
87 SINKS CANYON THERAPIES INC LANDER WY PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 720 $38,740 $54 41.3% (307) 332-2715
88 SPECTRUM FITNESS, LLC NORTHFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 720 $72,000 $100 1.4% (609) 204-4849
89 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 703 $78,033 $111 1.5% (904) 953-2000
90 REHAB MAXX LLC PALATINE IL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 665 $39,900 $60 4.2% (847) 258-5420
91 LEGACY HEALTHCARE SERVICES INC DURHAM NC INTERNAL MEDICINE 3859 661 $18,178 $28 16.3% (919) 419-9600
92 EMPOWER ADVANCED THERAPY LAKE IN THE HILLS IL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 650 $21,450 $33 4.1% (847) 766-0011
93 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 648 $25,272 $39 2.3% (865) 270-3178
94 PAXXON HEALTHCARE SERVICES LLC NAPERVILLE WI PHYSICAL THERAPIST IN PRIVATE PRACTICE 156 619 $24,600 $40 6.3% (630) 778-3475
95 FOX REHABILITATION SERVICES TX LLC ALLEN IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 124 616 $26,514 $43 3.9% (877) 407-3422
96 FOX REHAB SLP MD LLC BALTIMORE MD QUALIFIED SPEECH LANGUAGE PATHOLOGIST 16 600 $25,896 $43 5.0% (877) 407-3422
97 LEGACY HEALTHCARE SERVICES INC DURHAM GA INTERNAL MEDICINE 3859 591 $25,100 $42 4.7% (919) 419-9600
98 EMPOWERME REHABILITATION LLC DALLAS IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 567 $17,832 $31 3.6% (469) 489-1536
99 SOBE INNOVATIVE REHABILITATION PLLC MIAMI FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 565 $19,775 $35 1.2% (786) 770-9480
100 FOX REHABILITATION SERVICES INC PLEASANTVILLE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 560 $24,170 $43 1.3% (877) 407-3422

Showing the top 100 of 128 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →