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Market snapshot

97161 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97161 — Evaluation for physical therapy, typically 20 minutes

Billing groups
6,173
Named-group FFS services
1,211,104
FFS of Medicare
49%
Services YoY
+2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,411,660 services

1,211,104 observed fee-for-service (50%) · ~1,200,556 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; 3 states without payer-mix data excluded. How we scale

Top states — 97161 (CY2024)
CA 172,353 NY 145,739 FL 114,380 NJ 70,940 IL 65,862

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

Named-group submitted charges
$238.3M
Named-group allowed amount
$120.4M
Named-group Medicare payments
$88.3M
Avg charge / svc
$197
Avg allowed / svc
$99
Avg payment / svc
$73
Average charge per group
$0 6,173 groups · avg submitted charge / service $2,981
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 97161 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 12,023 $2,903,686 $242 21.3% (919) 544-7270
2 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 10,399 $2,189,285 $211 15.8% —
3 SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 524 10,007 $1,981,246 $198 6.9% (212) 529-5966
4 IVYREHAB NETWORK INC EAST WINDSOR NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 644 7,726 $1,998,255 $259 10.9% (609) 426-4442
5 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 7,717 $2,130,316 $276 17.6% (301) 774-0500
6 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 6,569 $1,188,878 $181 13.8% —
7 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 6,229 $1,539,857 $247 4.3% (718) 767-0610
8 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 6,104 $1,993,518 $327 3.5% (415) 600-1020
9 ATHLETICO LTD CHICAGO IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 2173 5,944 $1,047,104 $176 9.0% (773) 252-2300
10 BAY STATE PHYSICAL THERAPY OF RANDOLPH INC BRAINTREE MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 441 5,605 $1,182,496 $211 11.0% (781) 961-3370
11 TEAM REHABILITATION SERVICES LLC CHICAGO MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 585 5,370 $1,425,338 $265 19.4% (773) 500-2620
12 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 5,368 $1,995,781 $372 3.7% (866) 633-8255
13 IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH LANGUAGE PA BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 375 4,856 $1,232,296 $254 3.3% (718) 230-1180
14 SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 582 4,846 $996,260 $206 3.3% (646) 841-1414
15 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 4,813 $838,318 $174 7.3% (630) 469-9200
16 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 4,759 $659,946 $139 13.9% (513) 354-3700
17 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 4,758 $1,531,849 $322 14.2% (612) 863-6960
18 PROGRESS PHYSICAL THERAPY LLC PHILADELPHIA PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 437 4,444 $771,592 $174 8.6% (215) 662-0397
19 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 3,832 $1,091,757 $285 5.8% (877) 632-6637
20 SAN LUIS PHYSICAL THERAPY AND ORTHOPEDIC REHABILITATION INC SAN LUIS OBISPO CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 78 3,661 $584,180 $160 2.1% (805) 543-7771
21 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 3,586 $1,217,222 $339 10.7% (612) 672-7422
22 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 3,570 $626,330 $175 10.4% (614) 827-8700
23 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 3,366 $841,355 $250 6.2% (602) 385-2115
24 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 3,361 $820,087 $244 4.7% (718) 767-0610
25 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 3,242 $731,531 $226 9.1% (615) 329-6600
26 ENCORE REHABILITATION, INC THEODORE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 183 3,232 $454,550 $141 13.5% (251) 660-1505
27 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 3,204 $1,499,681 $468 2.8% (850) 877-8174
28 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 3,072 $1,013,350 $330 1.8% (858) 455-9100
29 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 2,977 $938,490 $315 1.7% (916) 681-8852
30 RESULTS-AST JV LLC NASHVILLE TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 401 2,919 $340,698 $117 8.2% (615) 440-3124
31 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 2,815 $839,968 $298 5.2% (800) 603-0558
32 RB PHYSICAL AND OCCUPATIONAL THERAPY, PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 309 2,793 $674,873 $242 1.9% (718) 230-0631
33 PROBILITY THERAPY SERVICES YPSILANTI MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 106 2,758 $292,925 $106 10.0% 73471277022
34 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 2,694 $1,013,986 $376 8.0% (952) 993-3123
35 GOLDEN BEAR PHYSICAL THERAPY SPORTS INJURY CENTER INC MODESTO CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 83 2,627 $389,927 $148 1.5% (209) 576-0710
36 REDDY CARE PHYSICAL THERAPY PC GREAT NECK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 133 2,510 $452,228 $180 1.7% (516) 829-0030
37 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 2,499 $634,746 $254 2.2% (352) 336-6000
38 JAG-ONE PHYSICAL THERAPY LLC WEST ORANGE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 312 2,498 $618,953 $248 3.5% (973) 669-0078
39 SPOONER PHYSICAL THERAPY AND HAND REHAB, PC SCOTTSDALE AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 2,489 $442,397 $178 4.6% (480) 924-5514
40 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 2,453 $695,582 $284 2.1% (904) 634-0640
41 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 2,401 $457,842 $191 15.3% (502) 928-1050
42 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 2,395 $429,920 $180 18.8% (801) 261-8346
43 MDRS SPINE AND SPORT INC SAN DIEGO CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 179 2,370 $446,517 $188 1.4% (619) 626-1990
44 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 2,221 $737,921 $332 6.6% (651) 968-5201
45 CALIFORNIA LUNA CARE PHYSICAL THERAPY PC LOS GATOS CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 742 2,202 $377,229 $171 1.3% (866) 525-3175
46 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 2,191 $1,260,882 $575 1.5% (212) 263-9700
47 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 2,185 $628,130 $287 6.5% (507) 284-2511
48 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 2,143 $658,419 $307 4.1% (610) 353-0800
49 GO PHYSICAL THERAPY LLC GRAND ISLAND NE PHYSICAL THERAPIST IN PRIVATE PRACTICE 94 2,122 $471,258 $222 14.1% (308) 398-2170
50 PTMS 3.0 LLC NORMAN OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 115 2,112 $430,788 $204 16.0% (405) 809-8713
51 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 2,070 $1,094,257 $529 4.0% (267) 339-3500
52 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 1,946 $321,090 $165 3.8% (603) 883-0091
53 GOLD COAST PHYSICAL THERAPY ASSOCIATES LLC LAKE WORTH FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 28 1,937 $400,940 $207 1.7% (561) 432-0111
54 FOOTHILLS SPORTS MEDICINE AND REHABILITATION LLC PHOENIX AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 171 1,935 $438,440 $227 3.6% (480) 940-8299
55 AGILITAS USA, INC MEMPHIS TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 832 1,885 $210,206 $112 5.3% (901) 683-9630
56 PROEX PHYSICAL THERAPY LLC BOSTON MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 164 1,881 $458,115 $244 3.7% (857) 350-4544
57 METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY AND ACUPUNCTURE PLL GARDEN CITY NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 461 1,877 $303,582 $162 1.3% (516) 745-8070
58 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 1,855 $287,525 $155 1.3% (315) 448-5111
59 TIDEWATER PHYSICAL THERAPY LLC NEWPORT NEWS VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 203 1,836 $306,798 $167 3.9% (757) 873-2123
60 FAMILY PRACTICE CENTER PC MIDDLEBURG PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 345 1,830 $263,518 $144 3.5% (570) 837-5889
61 PIEDMONT ORTHOPEDICS, LLC MARIETTA GA PHYSICIAN ASSISTANT 195 1,814 $520,444 $287 5.1% (770) 635-1812
62 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 1,787 $511,797 $286 2.5% (732) 974-0404
63 INDEPENDENT PHYSICAL THERAPY OF GEORGIA LLC AUSTELL GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 544 1,740 $216,398 $124 4.9% (770) 384-1001
64 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 1,739 $313,215 $180 1.5% (772) 257-3608
65 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 1,738 $490,021 $282 7.2% (256) 539-2728
66 TRIA ORTHOPAEDIC CENTER LLC BLOOMINGTON MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 508 1,732 $654,696 $378 5.2% (952) 831-8742
67 PRECISION REHABILITATION AND ORTHOPEDIC PHYSICAL THERAPY INC VISALIA CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 67 1,702 $181,011 $106 1.0% (559) 636-1200
68 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 1,682 $410,535 $244 4.8% (706) 494-3434
69 RALEIGH ORTHOPAEDIC CLINIC PA RALEIGH NC PHYSICIAN ASSISTANT 127 1,667 $245,049 $147 2.9% (919) 781-5600
70 CALIFORNIA REHABILITATION AND SPORTS THERAPY A CALIFORNIA PHYSICAL THE ANAHEIM CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 178 1,651 $266,040 $161 1.0% (714) 780-0010
71 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 1,632 $647,456 $397 1.4% (904) 953-2000
72 360 PHYSICAL THERAPY LLC CHANDLER AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 86 1,625 $262,906 $162 3.0% (480) 821-1997
73 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 1,619 $395,796 $244 3.0% (866) 974-2673
74 UCHEALTH COMMUNITY SERVICES ENGLEWOOD CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 126 1,607 $299,807 $187 5.6% (303) 694-3333
75 SILVER FERN PRACTICE LLC NORWOOD RI PHYSICAL THERAPIST IN PRIVATE PRACTICE 289 1,603 $252,114 $157 16.1% (781) 702-4630
76 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 1,602 $299,456 $187 3.4% (757) 321-3300
77 ENDEAVOR REHAB CENTER INC AUSTIN TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 108 1,585 $269,222 $170 2.6% (512) 467-4546
78 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 1,566 $259,956 $166 10.1% (775) 786-3040
79 H2 HEALTH OKLAHOMA OUTPATIENT CLINICS LLC ELGIN OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 1,561 $180,003 $115 11.8% (580) 492-1112
80 RCI (WRS) LLC DEMOTTE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 504 1,551 $271,611 $175 2.4% (219) 987-3073
81 FOX REHABILITATION SERVICES INC PLEASANTVILLE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 1,551 $236,098 $152 2.2% (877) 407-3422
82 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 1,549 $414,273 $267 2.5% (214) 220-2468
83 IVYREHAB SEPT, LLC CHESAPEAKE VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 213 1,549 $377,548 $244 3.3% (757) 512-7626
84 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 1,547 $223,897 $145 11.8% (785) 354-9591
85 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,519 $531,098 $350 0.9% (310) 423-0674
86 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 1,518 $672,474 $443 1.3% (954) 659-5000
87 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 1,518 $397,685 $262 3.8% —
88 GREENBRIER VALLEY PHYSICAL THERAPY LLC RONCEVERTE WV PHYSICAL THERAPIST IN PRIVATE PRACTICE 57 1,503 $242,620 $161 20.5% (304) 647-3987
89 PALM BEACH ORTHOPAEDIC INSTITUTE PA PALM BEACH GARDENS FL ORTHOPEDIC SURGERY 38 1,487 $805,517 $542 1.3% (561) 694-7776
90 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 1,486 $337,226 $227 4.7% (843) 491-4937
91 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 1,474 $350,812 $238 4.1% (901) 759-3100
92 DRAYER PHYSICAL THERAPY MISSISSIPPI LLC CRYSTAL SPRINGS MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 110 1,467 $157,240 $107 7.4% (601) 892-6330
93 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 1,460 $342,460 $235 2.4% (210) 804-5400
94 AGILITAS USA, INC MEMPHIS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 832 1,453 $165,190 $114 2.4% (901) 683-9630
95 PERFORMANCE THERAPY LLC PHILADELPHIA MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 82 1,450 $214,088 $148 7.4% (601) 650-0002
96 BURGER PHYSICAL THERAPY SERVICES INC SACRAMENTO CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 34 1,448 $217,560 $150 0.8% (916) 391-5010
97 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 1,427 $366,599 $257 3.0% (301) 774-0500
98 ALL STAR PHYSICAL THERAPY HEMET CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 147 1,426 $290,834 $204 0.8% (951) 652-3334
99 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 1,411 $353,591 $251 4.1% (419) 626-6161
100 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 1,408 $297,456 $211 3.2% (301) 530-1010

Showing the top 100 of 6,173 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 →