NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
97165 Evaluation for occupational therapy, typically 30 minutes CPT · Treatment
Classification Treatment › Physical, Occupational, and Speech Therapy › PT/OT Evaluation (CMS RBCS)
First observed 2017
National scale 162,770 services ▲ 6.8% YoY · 153,253 beneficiaries (CY2024, Medicare FFS)
Medicare paid $12.3M · $75.63 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,252
Named-group FFS services
125,685
FFS of Medicare
49%
Services YoY
+6.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~250,080 services

125,685 observed fee-for-service (50%) · ~124,395 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 — 97165 (CY2024)
NY 17,062 CA 13,611 FL 12,792 NJ 9,862 IL 8,385

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

Named-group submitted charges
$27.6M
Named-group allowed amount
$12.6M
Named-group Medicare payments
$9.5M
Avg charge / svc
$220
Avg allowed / svc
$101
Avg payment / svc
$75
Average charge per group
$2 1,252 groups · avg submitted charge / service $978
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 97165 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 1,557 $324,635 $209 18.6% —
2 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 1,497 $295,544 $197 31.1% —
3 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 1,476 $363,031 $246 26.6% (919) 544-7270
4 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 1,394 $385,421 $276 8.2% (718) 767-0610
5 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,286 $384,660 $299 29.3% (800) 603-0558
6 VISITING THERAPY SERVICE PT OT AND SLP PLLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 1,135 $130,476 $115 6.7% (929) 505-9727
7 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 1,046 $326,030 $312 27.7% (301) 774-0500
8 FOX REHABILITATION SERVICES INC PLEASANTVILLE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 1,042 $149,300 $143 10.6% (877) 407-3422
9 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 1,008 $314,209 $312 7.4% (916) 681-8852
10 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 917 $297,034 $324 6.7% (858) 455-9100
11 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 848 $272,275 $321 6.2% (415) 600-1020
12 ATHLETICO LTD CHICAGO IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 2173 797 $149,055 $187 9.5% (773) 252-2300
13 SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 524 743 $140,776 $189 4.4% (212) 529-5966
14 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 718 $194,985 $272 16.4% (602) 385-2115
15 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 709 $292,164 $412 19.7% (303) 695-6060
16 SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 582 613 $137,165 $224 3.6% (646) 841-1414
17 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 603 $173,664 $288 10.2% (507) 284-2511
18 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 603 $185,204 $307 10.8% (610) 353-0800
19 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 589 $108,513 $184 7.0% (630) 469-9200
20 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 563 $97,810 $174 16.2% (614) 827-8700
21 ALL BE HEALTHY LLC BLOOMFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 552 $166,595 $302 5.6% (732) 784-3578
22 ORTHOTENNESSEE PC KNOXVILLE TN PHYSICIAN ASSISTANT 157 545 $100,780 $185 18.0% (865) 558-4400
23 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 533 $270,077 $507 9.6% (267) 339-3500
24 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 520 $194,697 $374 8.8% (952) 993-3123
25 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 516 $260,553 $505 4.0% (850) 877-8174
26 TRIA ORTHOPAEDIC CENTER LLC BLOOMINGTON MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 508 516 $195,048 $378 8.7% (952) 831-8742
27 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 505 $101,000 $200 23.3% (662) 328-1012
28 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 491 $136,498 $278 10.2% (757) 827-2480
29 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 476 $155,649 $327 8.0% (612) 863-6960
30 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 467 $160,343 $343 7.9% (612) 672-7422
31 MOTION REHABILITATION OT PC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 466 $49,531 $106 2.7% (929) 441-3356
32 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 460 $85,687 $186 3.4% (925) 939-8585
33 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 453 $85,010 $188 9.4% (757) 321-3300
34 GROSS THERAPY SERVICES INC MOUNTAIN HOME AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 44 443 $66,450 $150 18.6% (870) 404-5299
35 ORTHOPAEDIC ASSOCIATES OF ALLENTOWN ALLENTOWN PA ORTHOPEDIC SURGERY 42 437 $135,470 $310 7.9% (610) 973-6200
36 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 427 $217,721 $510 42.2% (302) 655-9494
37 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 416 $132,704 $319 30.0% (316) 838-2020
38 CALIFORNIA REHABILITATION AND SPORTS THERAPY A CALIFORNIA PHYSICAL THE ANAHEIM CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 178 410 $65,748 $160 3.0% (714) 780-0010
39 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 402 $59,317 $148 3.1% (772) 257-3608
40 SPOONER PHYSICAL THERAPY AND HAND REHAB, PC SCOTTSDALE AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 399 $73,416 $184 9.1% (480) 924-5514
41 ODOM SPORTS MEDICINE PA EDEN PRAIRIE MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 70 398 $79,375 $199 6.7% (952) 224-1919
42 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 397 $95,280 $240 16.6% (501) 500-3500
43 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 396 $56,519 $143 9.2% (877) 407-3422
44 FOX REHABILITATION SERVICES INC PLEASANTVILLE PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 393 $56,494 $144 7.1% (877) 407-3422
45 VARSHA POHUJA LLC MONROE TOWNSHIP NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 43 392 $72,483 $185 4.0% (732) 521-1194
46 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 390 $52,260 $134 11.2% (513) 354-3700
47 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 382 $204,925 $536 2.2% (866) 633-8255
48 HUMBOLDT HAND AND FOOT THERAPY EUREKA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 365 $59,495 $163 2.7% (707) 441-1931
49 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 365 $160,235 $439 2.9% (904) 953-2000
50 NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 148 359 $101,450 $283 2.1% (646) 780-0926
51 IVYREHAB NETWORK INC EAST WINDSOR NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 644 359 $89,080 $248 3.6% (609) 426-4442
52 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 356 $61,014 $171 14.6% (337) 235-8007
53 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 355 $65,643 $185 24.4% (314) 747-3000
54 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 353 $67,351 $191 7.1% (425) 313-5422
55 ENDEAVOR REHAB CENTER INC AUSTIN TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 108 350 $59,500 $170 8.3% (512) 467-4546
56 RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC CARMEL IN HAND SURGERY 8 344 $82,560 $240 11.5% (317) 249-2616
57 YOUNGSTOWN ORTHOPAEDIC ASSOCIATES LTD CANFIELD OH PHYSICIAN ASSISTANT 36 333 $48,285 $145 9.6% (330) 758-0577
58 UNIVERSITY ORTHOPEDICS CENTER, LTD STATE COLLEGE PA PHYSICIAN ASSISTANT 57 323 $74,613 $231 5.8% (814) 231-2101
59 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 322 $60,858 $189 7.5% —
60 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 322 $93,576 $291 2.5% (904) 634-0640
61 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 320 $57,758 $180 68.5% (801) 261-8346
62 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 316 $97,140 $307 3.8% (877) 632-6637
63 HANDWORKS THERAPY LC VENICE FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 315 $31,815 $101 2.5% (941) 484-5500
64 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 307 $81,974 $267 15.5% (608) 260-2900
65 ORTHOPAEDIC ASSOCIATES OF READING LTD WYOMISSING PA PHYSICIAN ASSISTANT 27 306 $43,800 $143 5.5% (610) 376-8971
66 ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC FORT COLLINS CO PHYSICIAN ASSISTANT 144 306 $53,374 $174 8.5% (970) 493-0567
67 SOUTH CAROLINA SPORTS MEDICINE AND ORTHOPAEDIC CENTER NORTH CHARLESTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 305 $76,074 $249 7.1% (843) 300-8585
68 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 305 $93,743 $307 6.1% —
69 SDS MEDICAL, LLC SARASOTA FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 304 $45,600 $150 2.4% (941) 378-5100
70 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 303 $75,447 $249 6.8% (706) 494-3434
71 ESD PT OT AND SLP PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 87 302 $53,225 $176 1.8% (718) 473-3808
72 ALIGN CARE PHYSICAL THERAPY PLLC CARLSTADT NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 297 $39,967 $135 1.7% (706) 615-7539
73 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 297 $76,133 $256 3.5% —
74 DYNAMIC PHYSICAL THERAPY AT HOME NORTHVALE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 295 $39,163 $133 3.0% (201) 564-7515
75 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 293 $58,225 $199 2.3% (904) 858-7045
76 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 283 $64,807 $229 6.7% (210) 804-5400
77 PEACHTREE ORTHOPAEDIC CLINIC PA ATLANTA GA PHYSICIAN ASSISTANT 132 283 $59,913 $212 6.3% (404) 425-1577
78 ATHENS ORTHOPEDIC CLINIC, PA ATHENS GA PHYSICIAN ASSISTANT 68 280 $51,240 $183 6.3% (706) 549-1663
79 FOX REHAB OT CT LLC SOUTHBURY CT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 60 280 $40,250 $144 14.3% (877) 407-3422
80 RALEIGH ORTHOPAEDIC CLINIC PA RALEIGH NC PHYSICIAN ASSISTANT 127 279 $45,756 $164 5.0% (919) 781-5600
81 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 277 $55,135 $199 41.5% —
82 EXCEL REHABILITATION AND SPORTS CHATTANOOGA SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 52 275 $41,250 $150 6.4% (423) 254-5461
83 REDDY CARE PHYSICAL AND OCCUPATIONAL THERAPY PLLC GREAT NECK NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 49 271 $48,770 $180 1.6% (516) 829-0030
84 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 271 $62,330 $230 34.8% —
85 ATLANTIC PHYSICAL THERAPY CENTER MANCHESTER NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 116 268 $67,000 $250 2.7% (732) 408-1800
86 MIDAMERICA ORTHOPAEDICS S.C. PALOS HILLS IL PHYSICIAN ASSISTANT 22 266 $39,900 $150 3.2% (708) 237-7200
87 ORTHOPEDIC ASSOC OF LANCASTER LTD LANCASTER PA ORTHOPEDIC SURGERY 80 262 $60,522 $231 4.7% (717) 299-4871
88 EXCEL ORTHOPEDIC SPECIALISTS INC WOBURN MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 48 262 $57,378 $219 7.6% (781) 782-1300
89 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 260 $50,700 $195 37.3% 50572443003208
90 LAKESHORE BONE AND JOINT INSTITUTE, PC CHESTERTON IN PHYSICIAN ASSISTANT 85 256 $44,800 $175 8.6% (219) 921-1444
91 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 255 $73,263 $287 1.9% (858) 499-2600
92 JGB REHABILITATION CORPORATION NEW YORK NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 254 $101,600 $400 1.5% (212) 769-6313
93 REGIONS HOSPITAL SAINT PAUL MN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 225 253 $66,539 $263 4.3% (651) 254-7700
94 THOMAS A BRADY SPORTS MEDICINE CENTER, PC CARMEL IN PHYSICIAN ASSISTANT 95 250 $68,126 $273 8.4% (317) 817-1200
95 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 246 $73,800 $300 4.4% (919) 684-8111
96 IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH LANGUAGE PA BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 375 244 $60,024 $246 1.4% (718) 230-1180
97 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 243 $69,255 $285 5.8% (214) 220-2468
98 UCHEALTH COMMUNITY SERVICES ENGLEWOOD CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 126 243 $54,318 $224 6.7% (303) 694-3333
99 ORTHOUNITED, INC. CANTON OH PHYSICIAN ASSISTANT 85 242 $60,016 $248 7.0% (330) 492-9200
100 JEAN A ASTORINO OD PC MEDIA PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 242 $32,670 $135 4.3% (610) 892-8767

Showing the top 100 of 1,252 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 →