NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
97166 Evaluation for occupational therapy, typically 45 minutes CPT · Treatment
Classification Treatment › Physical, Occupational, and Speech Therapy › PT/OT Evaluation (CMS RBCS)
First observed 2017
National scale 141,320 services ▲ 8.8% YoY · 125,991 beneficiaries (CY2024, Medicare FFS)
Medicare paid $10.8M · $76.63 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,050
Named-group FFS services
98,440
FFS of Medicare
49%
Services YoY
+8.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~195,435 services

98,440 observed fee-for-service (50%) · ~96,995 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; 2 states without payer-mix data excluded. How we scale

Top states — 97166 (CY2024)
NY 19,177 NJ 12,899 CA 12,814 FL 11,581 PA 7,361

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

Named-group submitted charges
$18.1M
Named-group allowed amount
$9.9M
Named-group Medicare payments
$7.5M
Avg charge / svc
$184
Avg allowed / svc
$101
Avg payment / svc
$76
Average charge per group
$77 1,050 groups · avg submitted charge / service $2,201
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 97166 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FOX REHABILITATION SERVICES INC PLEASANTVILLE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 3,749 $550,662 $147 29.1% (877) 407-3422
2 FOX REHABILITATION SERVICES INC PLEASANTVILLE PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 3,337 $480,088 $144 45.3% (877) 407-3422
3 METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY AND ACUPUNCTURE PLL GARDEN CITY NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 461 1,517 $292,236 $193 7.9% (516) 745-8070
4 INTEGRATED CLINIX CEDAR HILLS IA PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 1,256 $234,361 $187 42.2% (801) 822-1880
5 FOX REHABILITATION PHYSICAL THERAPY SERVICES LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 230 1,156 $166,325 $144 6.0% (877) 407-3422
6 CORE THERAPY SERVICES PT OT PLLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 32 999 $130,520 $131 5.2% (347) 394-1600
7 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 948 $135,109 $143 40.8% (877) 407-3422
8 TOTAL CARE THERAPY LLC DUBLIN OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 102 909 $135,887 $149 29.3% (740) 953-1184
9 HOMESIDE REHAB PT OT SLP LLC MONSEY NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 48 881 $120,615 $137 4.6% (718) 377-5000
10 FOX REHAB OT CT LLC SOUTHBURY CT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 60 852 $124,162 $146 49.4% (877) 407-3422
11 EMPOWERME REHABILITATION ILLINOIS LLC EDWARDSVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 355 849 $139,783 $165 13.8% (618) 706-9759
12 THERAPY ACHIEVEMENTS, LLC HUNTSVILLE AL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 774 $85,140 $110 49.4% (256) 509-4398
13 EMPOWERME REHABILITATION FLORIDA, LLC STUART FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 161 759 $123,040 $162 6.6% (877) 367-9772
14 ESD PT OT AND SLP PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 87 687 $117,773 $171 3.6% (718) 473-3808
15 ORTHOPAEDIC AND NEUROLOGICAL REHAB INC LAGUNA WOODS CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 395 649 $96,117 $148 5.1% (949) 243-5710
16 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 635 $116,577 $184 55.5% (801) 261-8346
17 FOX REHAB OT MD LLC BALTIMORE MD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 62 612 $88,123 $144 13.8% (877) 407-3422
18 FOX REHABILITATION SERVICES LLC CHANTILLY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 298 587 $83,743 $143 19.0% (703) 810-3992
19 NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 148 532 $156,491 $294 2.8% (646) 780-0926
20 INDEPENDENT PHYSICAL THERAPY OF GEORGIA LLC AUSTELL GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 544 532 $58,942 $111 15.9% (770) 384-1001
21 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 531 $144,963 $273 4.6% (352) 336-6000
22 REDDY CARE PHYSICAL AND OCCUPATIONAL THERAPY PLLC GREAT NECK NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 49 498 $89,640 $180 2.6% (516) 829-0030
23 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 492 $153,150 $311 20.4% (507) 284-2511
24 FOX REHAB AGENCY MS LLC STARKVILLE MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 66 470 $67,562 $144 25.2% (877) 407-3422
25 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 458 $149,680 $327 18.9% (612) 863-6960
26 FOX REHAB OT FL LLC SARASOTA FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 55 438 $63,293 $145 3.8% (877) 407-3422
27 FOX REHABILITATION SERVICES INC PLEASANTVILLE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 438 $66,457 $152 2.3% (877) 407-3422
28 COMPREHENSIVE THERAPEUTICS LTD STATESVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 426 $69,864 $164 6.9% (704) 994-5065
29 STAR CARE INC ROWLAND HEIGHTS CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 424 $51,332 $121 3.3% (626) 965-3500
30 PARAGON OUTPATIENT REHABILITATION SERVICES LLC WINSTON SALEM NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 423 $45,646 $108 13.2% (336) 397-4200
31 EMPOWERME REHABILITATION LLC DALLAS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 417 $65,511 $157 9.4% (469) 489-1536
32 FOX REHABILITATION SERVICES WI LLC WEST BEND WI PHYSICAL THERAPIST IN PRIVATE PRACTICE 136 414 $59,898 $145 21.2% (262) 338-0092
33 SOBE INNOVATIVE REHABILITATION PLLC MIAMI FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 390 $72,643 $186 3.4% (786) 770-9480
34 ATS REHAB OT AND PT AND SLP PLLC LONG BEACH NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 39 379 $75,800 $200 2.0% (718) 809-4370
35 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 374 $93,500 $250 22.3% —
36 THIEN PHUOC MEDICAL CENTER INC WESTMINSTER CA GENERAL PRACTICE 2 373 $111,900 $300 2.9% (714) 622-5593
37 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 362 $154,201 $426 3.1% (850) 877-8174
38 FOX REHABILITATION SERVICES INC PLEASANTVILLE DE PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 359 $51,606 $144 43.6% (877) 407-3422
39 EMPOWERME REHABILITATION MISSOURI LLC SAINT CHARLES MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 223 356 $58,913 $165 13.8% (636) 242-1764
40 FOX REHAB INDIANA LLC CARMEL IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 94 350 $50,312 $144 10.0% (877) 407-3422
41 LYMPHATX INC BOYNTON BEACH FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 11 350 $49,000 $140 3.0% (561) 733-1012
42 LYMPHEDEMA THERAPY SPECIALISTS INC DELRAY BEACH FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 345 $28,945 $84 3.0% (561) 336-0110
43 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 336 $54,429 $162 2.6% (865) 270-3178
44 EMPOWERME REHABILITATION COLORADO, LLC DENVER CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 98 334 $52,008 $156 16.3% (314) 673-6747
45 DHT HAND THERAPY LIMITED PARTNERSHIP GLENDALE AZ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 21 330 $99,330 $301 15.0% (602) 843-9945
46 CORTLYN THERAPY PC ELMHURST IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 146 320 $39,991 $125 5.2% (630) 413-5800
47 FOX REHABILITATION SERVICES OH, LLC WORTHINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 316 $45,425 $144 10.2% (877) 407-3422
48 PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC SYRACUSE NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 80 315 $37,305 $118 1.6% (631) 467-3700
49 PRESTIGE REHAB LLC COLTS NECK NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 60 313 $45,105 $144 2.4% (855) 678-8887
50 DUKE UNIVERSITY HEALTH SYSTEM, INC DURHAM NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 1053 305 $108,885 $357 9.5% (919) 684-8111
51 SELF CARE THERAPY INCORPORATION WILMINGTON NC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 302 $36,240 $120 9.5% (910) 233-0730
52 FOX REHABILITATION GA, LLC DULUTH GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 299 $42,295 $141 8.9% (877) 407-3422
53 FOX REHAB OT IA LLC NORWALK IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 55 297 $43,712 $147 10.0% (877) 407-3422
54 CIP REHABILITATION INC DALLAS PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 43 278 $55,600 $200 3.8% (570) 255-4578
55 ATHLETICO LTD CHICAGO IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 2173 277 $53,955 $195 4.5% (773) 252-2300
56 COASTAL HOME REHABILITATION, LLC BELMAR NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 53 275 $38,500 $140 2.1% (908) 670-6695
57 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 272 $59,840 $220 11.1% (615) 329-6600
58 ACTION THERAPY GROUP LLC PENSACOLA FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 63 271 $37,127 $137 2.3% (850) 741-6715
59 COASTAL HAND AND OCCUPATIONAL THERAPY INC SANTA MARIA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 265 $32,189 $121 2.1% (805) 922-1724
60 SELECT CS PHYSICAL THERAPY PC LOS ANGELES CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 167 261 $53,505 $205 2.0% (310) 665-7100
61 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 257 $82,240 $320 11.7% (800) 603-0558
62 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 255 $61,200 $240 1.3% (718) 767-0610
63 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 248 $40,672 $164 5.6% (865) 270-3178
64 EUCLID PHYSICAL THERAPY, INC. SAN DIEGO CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 245 $24,565 $100 1.9% (619) 280-3200
65 FOX REHABILITATION SERVICES LLC CHANTILLY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 298 244 $35,075 $144 5.5% (703) 810-3992
66 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 241 $38,744 $161 2.1% (865) 270-3178
67 OPTIMUM THERAPEUTICS PT AND OT PLLC MELVILLE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 44 241 $27,406 $114 1.3% (516) 222-2010
68 PAXXON HEALTHCARE SERVICES LLC NAPERVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 156 236 $27,007 $114 3.8% (630) 778-3475
69 EMPOWERME REHABILITATION LLC DALLAS AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 236 $37,285 $158 10.7% (469) 489-1536
70 HOME ADVANTAGE OCCUPATIONAL THERAPY, P.C. MEDFORD NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 231 $34,650 $150 1.2% (516) 729-4834
71 REHAB1 LLC MEDIA PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 77 228 $39,444 $173 3.1% (484) 266-0387
72 SUNG J KIM PHYSICAL THERAPY APC FULLERTON CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 227 $34,050 $150 1.8% (714) 475-1400
73 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 225 $44,734 $199 1.9% (904) 858-7045
74 SN KENTUCKIANA REHAB, LLC LOUISVILLE KY PHYSICAL THERAPIST IN PRIVATE PRACTICE 316 221 $40,222 $182 13.5% (502) 537-7870
75 SPACE COAST LYMPHEDEMA CLINIC LLC VIERA FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 220 $33,000 $150 1.9% (321) 241-6543
76 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 218 $35,545 $163 8.9% (865) 270-3178
77 EMPOWERME ASL LLC FORT MADISON IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 75 212 $31,890 $150 7.1% (319) 219-5963
78 DIGNITY SELECT NEVADA LLC HENDERSON NV PHYSICAL THERAPIST IN PRIVATE PRACTICE 106 209 $37,620 $180 20.6% (702) 564-4116
79 FOX REHABILITATION SERVICES ME LLC SCARBOROUGH ME PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 209 $30,044 $144 36.8% (877) 407-3422
80 EMPOWERME REHABILITATION KENTUCKY, LLC LEXINGTON KY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 119 206 $32,714 $159 12.5% (844) 502-7996
81 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 202 $44,855 $222 1.1% 71895188002102
82 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY ASSOCIATES, INC. NORTH CHARLEROI PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 91 196 $27,440 $140 2.7% (724) 483-4886
83 GOLDEN GATE HAND THERAPY INC SAN FRANCISCO CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 196 $34,300 $175 1.5% (415) 359-1444
84 GOODCARE ATHOME REHAB LLC SIOUX FALLS SD PHYSICAL THERAPIST IN PRIVATE PRACTICE 30 194 $26,772 $138 46.1% (605) 231-2490
85 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 189 $57,168 $302 10.6% (248) 644-3920
86 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 187 $41,701 $223 7.6% (901) 641-3000
87 FOX REHABILITATION SERVICES MI LLC CANTON MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 83 185 $27,222 $147 10.4% (877) 407-3422
88 COLORADO IN MOTION LLC FORT COLLINS CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 41 184 $39,144 $213 9.0% (970) 221-1201
89 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 184 $39,534 $215 7.1% (314) 747-3000
90 NEWVIEW OKLAHOMA INC OKLAHOMA CITY OK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 184 $43,815 $238 19.3% (405) 286-9699
91 VISITING THERAPY SERVICE PT OT AND SLP PLLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 180 $21,305 $118 0.9% (929) 505-9727
92 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 180 $41,220 $229 4.1% (210) 804-5400
93 SAND COAST REHAB PHYSICAL THERAPY INC MILL VALLEY CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 123 178 $21,483 $121 1.4% (732) 886-6202
94 HAND SURGERY ASSOCIATES LLC OLYPHANT PA HAND SURGERY 2 177 $48,675 $275 2.4% (570) 877-2289
95 PETERSEN PHYSICAL THERAPY PC MESA AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 174 $30,450 $175 7.9% (480) 719-8080
96 TORREY PINES ORTHOPAEDIC MEDICAL GROUP INC DEL MAR CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 15 173 $25,950 $150 1.4% 85853510751144
97 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 173 $52,073 $301 1.5% (305) 689-5437
98 KITSAP PHYSICAL THERAPY AND SPORTS CLINIC PS INC SILVERDALE WA PHYSICAL THERAPIST IN PRIVATE PRACTICE 142 172 $21,820 $127 8.1% (360) 613-1834
99 MEDICAL DOCTOR MILENA KOLESNIKOVA PC STATEN ISLAND NY DIAGNOSTIC RADIOLOGY 5 172 $23,590 $137 0.9% (347) 201-5081
100 ST LOUIS SOCIETY FOR THE BLIND SAINT LOUIS MO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 171 $20,520 $120 6.6% (314) 968-9000

Showing the top 100 of 1,050 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 →