NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

97130 in IA 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
5
Named-group FFS services
7,239
FFS of Medicare
62%
Services YoY
+169.0%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,512 services

7,239 observed fee-for-service (63%) · ~4,273 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
$314K
Named-group allowed amount
$148K
Named-group Medicare payments
$117K
Avg charge / svc
$43
Avg allowed / svc
$20
Avg payment / svc
$16
Average charge per group
$43 5 groups · avg submitted charge / service $51
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Specialty market — Qualified Speech Language Pathologist: 6,040 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Qualified Speech Language Pathologist across all states →

Refine: practice size any 5+ 25+ 100+ independent only
Filter results: clear filters

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 97130 services, CY2024
#Physician group City Specialty Providers 97130 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 FOX REHAB SLP IA PLLC NORWALK QUALIFIED SPEECH LANGUAGE PATHOLOGIST 24 5,143 $222,018 $43 premium 55.9% (877) 407-3422
2 FOX REHABILITATION SERVICES SLP MO LLC SAINT LOUIS QUALIFIED SPEECH LANGUAGE PATHOLOGIST 13 897 $38,715 $43 premium 9.8% (877) 407-3422

*"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 →