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Market snapshot

97140 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

97140 — Therapy procedure using manual technique, each 15 minutes

Billing groups
8,246
Named-group FFS services
19,775,959
FFS of Medicare
49%
Services YoY
-1.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~37,745,489 services

19,775,959 observed fee-for-service (52%) · ~17,969,530 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation; 2 states without payer-mix data excluded. How we scale

Top states — 97140 (CY2024)

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

Named-group submitted charges
$1.3B
Named-group allowed amount
$415.0M
Named-group Medicare payments
$320.4M
Avg charge / svc
$67
Avg allowed / svc
$21
Avg payment / svc
$16
Average charge per group
$21 8,246 groups · avg submitted charge / service $817
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a taste of the twelve-year trend layer

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Specialty market — Qualified Speech Language Pathologist: 15,423 services across 17 groups; top group 34%. See Qualified Speech Language Pathologist across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 97140 services, CY2023
#Physician group City St Specialty Providers 97140 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 ALL CARE PHYSICAL THERAPY, PC SAN DIEGO CA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 82 3,940 $211,720 $54 premium 0.1% (877) 757-8353
2 FOOTHILLS REHABILITATION AND PERFORMANCE SERVICES PLLC IDAHO FALLS ID QUALIFIED SPEECH LANGUAGE PATHOLOGIST 8 1,746 $73,332 $42 premium 0.7% (208) 529-2255
3 NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY AMSTERDAM NY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 12 1,390 $61,234 $44 premium 0.0%
4 ALL CARE PHYSICAL THERAPY, PC SAN DIEGO MA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 82 1,258 $64,219 $51 premium 0.2% (877) 757-8353
5 VITAL REHABILITATION ASSOCIATION, INC. CHICAGO IL QUALIFIED SPEECH LANGUAGE PATHOLOGIST 4 1,091 $74,188 $68 premium 0.1% (773) 685-8482
6 ADVANCED THERAPY SOLUTIONS, LLC STILLWATER OK QUALIFIED SPEECH LANGUAGE PATHOLOGIST 6 1,032 $36,397 $35 premium 0.3% (405) 564-2701
7 FOX REHABILITATION SERVICES NV LLC LAS VEGAS NV QUALIFIED SPEECH LANGUAGE PATHOLOGIST 13 1,009 $99,455 $99 premium 0.4% (877) 407-3422
8 TIDAL THERAPY SOLUTIONS LLC HOLLY RIDGE NC QUALIFIED SPEECH LANGUAGE PATHOLOGIST 4 694 $55,569 $80 premium 0.1% (910) 541-3636
9 MHD THERAPIES PLLC REXBURG ID QUALIFIED SPEECH LANGUAGE PATHOLOGIST 4 614 $16,565 $27 premium 0.3% (208) 359-9570
10 LEGACY THERAPY AND REHABILITATION LLC JASPER IN QUALIFIED SPEECH LANGUAGE PATHOLOGIST 6 569 $26,174 $46 premium 0.1% (812) 556-3196
11 FUSION THERAPY CENTER LLC BENTONVILLE AR QUALIFIED SPEECH LANGUAGE PATHOLOGIST 16 527 $26,350 $50 premium 0.3% (479) 252-3321
12 SUBURBAN ADULT SERVICES INC. ELMA NY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 14 473 $23,928 $51 premium 0.0% (716) 805-1440
13 TO GO THERAPY STANFORD KY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 10 355 $35,500 $100 premium 0.1% (606) 669-3057
14 QUALITY CARE REHABILITATION PROFESSIONALS, INC SHELBY TOWNSHIP MI QUALIFIED SPEECH LANGUAGE PATHOLOGIST 5 282 $16,920 $60 premium 0.0% (586) 286-9644
15 NORTH ARKANSAS SPEECH SERVICES LLC ASH FLAT PA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 7 246 $12,526 $51 premium 0.0% (870) 705-4021
16 BOULDER COGNITIVE AND LINGUISTIC CENTER INC WHEAT RIDGE CO QUALIFIED SPEECH LANGUAGE PATHOLOGIST 21 79 $7,430 $94 premium 0.0% (303) 932-2030
17 SLPTELE LLC IRVINE CA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 97 77 $3,465 $45 premium 0.0% (877) 757-8353
18 THE UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES ORLANDO FL QUALIFIED SPEECH LANGUAGE PATHOLOGIST 42 41 $2,966 $72 premium 0.0% (407) 882-0468

*"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 →