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Market snapshot

97166 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97166 — Evaluation for occupational therapy, typically 45 minutes

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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Specialty market — Occupational Therapist In Private Practice: 21,126 services across 258 groups; top group 5%. See Occupational Therapist In Private Practice across all states →

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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 of specialty*Share of state* Phone
1 CORE THERAPY SERVICES PT OT PLLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 32 999 $130,520 $131 26.6% 5.2% (347) 394-1600
2 FOX REHAB OT CT LLC SOUTHBURY CT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 60 852 $124,162 $146 — 49.4% (877) 407-3422
3 THERAPY ACHIEVEMENTS, LLC HUNTSVILLE AL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 774 $85,140 $110 — 49.4% (256) 509-4398
4 FOX REHAB OT MD LLC BALTIMORE MD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 62 612 $88,123 $144 — 13.8% (877) 407-3422
5 REDDY CARE PHYSICAL AND OCCUPATIONAL THERAPY PLLC GREAT NECK NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 49 498 $89,640 $180 13.2% 2.6% (516) 829-0030
6 FOX REHAB OT FL LLC SARASOTA FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 55 438 $63,293 $145 16.9% 3.8% (877) 407-3422
7 STAR CARE INC ROWLAND HEIGHTS CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 424 $51,332 $121 24.5% 3.3% (626) 965-3500
8 LYMPHATX INC BOYNTON BEACH FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 11 350 $49,000 $140 13.5% 3.0% (561) 733-1012
9 LYMPHEDEMA THERAPY SPECIALISTS INC DELRAY BEACH FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 345 $28,945 $84 13.3% 3.0% (561) 336-0110
10 EMPOWERME REHABILITATION COLORADO, LLC DENVER CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 98 334 $52,008 $156 — 16.3% (314) 673-6747
11 DHT HAND THERAPY LIMITED PARTNERSHIP GLENDALE AZ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 21 330 $99,330 $301 — 15.0% (602) 843-9945
12 PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC SYRACUSE NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 80 315 $37,305 $118 8.4% 1.6% (631) 467-3700
13 SELF CARE THERAPY INCORPORATION WILMINGTON NC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 302 $36,240 $120 47.8% 9.5% (910) 233-0730
14 FOX REHAB OT IA LLC NORWALK IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 55 297 $43,712 $147 — 10.0% (877) 407-3422
15 CIP REHABILITATION INC DALLAS PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 43 278 $55,600 $200 32.5% 3.8% (570) 255-4578
16 COASTAL HAND AND OCCUPATIONAL THERAPY INC SANTA MARIA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 265 $32,189 $121 15.3% 2.1% (805) 922-1724
17 EUCLID PHYSICAL THERAPY, INC. SAN DIEGO CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 245 $24,565 $100 14.2% 1.9% (619) 280-3200
18 HOME ADVANTAGE OCCUPATIONAL THERAPY, P.C. MEDFORD NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 231 $34,650 $150 6.1% 1.2% (516) 729-4834
19 SPACE COAST LYMPHEDEMA CLINIC LLC VIERA FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 220 $33,000 $150 8.5% 1.9% (321) 241-6543
20 EMPOWERME ASL LLC FORT MADISON IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 75 212 $31,890 $150 — 7.1% (319) 219-5963
21 EMPOWERME REHABILITATION KENTUCKY, LLC LEXINGTON KY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 119 206 $32,714 $159 — 12.5% (844) 502-7996
22 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 202 $44,855 $222 5.4% 1.1% 71895188002102
23 GOLDEN GATE HAND THERAPY INC SAN FRANCISCO CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 196 $34,300 $175 11.3% 1.5% (415) 359-1444
24 NEWVIEW OKLAHOMA INC OKLAHOMA CITY OK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 184 $43,815 $238 — 19.3% (405) 286-9699
25 VISITING THERAPY SERVICE PT OT AND SLP PLLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 180 $21,305 $118 4.8% 0.9% (929) 505-9727
26 ST LOUIS SOCIETY FOR THE BLIND SAINT LOUIS MO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 171 $20,520 $120 — 6.6% (314) 968-9000
27 THERAPEUTIC SERVICES LLC ROSEBURG OR OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 170 $30,880 $182 — 18.5% (541) 673-5770
28 PALM BEACH PHYSICAL THERAPY GROUP LLC BOYNTON BEACH NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 168 $16,272 $97 4.5% 0.9% (561) 317-8902
29 FOX REHABILITATION SERVICES OT MO LLC WASHINGTON MO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 17 168 $24,265 $144 — 6.5% (877) 407-3422
30 HAND AND PHYSICAL THERAPY OF WYOMING LIMITED PARTNERSHIP CASPER WY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 24 167 $27,889 $167 — 25.5% (307) 337-1373
31 NEW HAMPSHIRE ASSOCIATION FOR THE BLIND CONCORD NH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 157 $16,485 $105 — 34.4% (603) 224-4039
32 LINK HOME SERVICES OF NJ LLC ENGLEWOOD CLIFFS NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 48 147 $51,450 $350 13.3% 1.1% (718) 650-6230
33 DAYTONA BEACH HAND CLINIC, INC PORT ORANGE FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 144 $27,711 $192 5.6% 1.2% (386) 258-8080
34 RESTORED HOPE HAND THERAPY LLC PRESCOTT AZ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 131 $32,750 $250 — 5.9% (928) 275-2201
35 2 THUMBS UP HAND THERAPY LLC NORWELL MA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 128 $19,200 $150 — 4.8% —
36 THE THERAPY SOURCE, INC. CINCINNATI OH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 126 $18,900 $150 — 4.1% (513) 574-5400
37 COMMONWEALTH HAND THERAPY LEXINGTON KY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 37 126 $19,344 $154 — 7.7% (859) 447-8600
38 HANDS ON HANDS REHABILITATION CENTER, INC COSTA MESA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 125 $21,750 $174 7.2% 1.0% (714) 556-2288
39 C.J. ALLEN OT UPPER EXTREMITY AND HAND THERAPY, PLLC HAUPPAUGE NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 125 $28,125 $225 3.3% 0.7% (631) 761-6996
40 KINESIST LLC ORLANDO FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 122 $13,420 $110 4.7% 1.1% (321) 303-6276
41 SUMMIT HAND THERAPY LIMITED PARTNERSHIP LAYTON UT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 122 $14,030 $115 — 10.7% (801) 773-2633
42 PROCARE OCCUPATIONAL THERAPY AND PHYSICAL THERAPY PLLC RIVERHEAD NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 121 $30,250 $250 3.2% 0.6% (631) 591-0838
43 HANDS ON THERAPY, LLC PIKESVILLE MD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 10 113 $22,285 $197 — 2.5% (410) 415-5260
44 PHOEBE CORPORATE AND COMMUNITY BASED SERVICES, INC. ALLENTOWN PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 111 $14,985 $135 13.0% 1.5% (610) 794-5162
45 LINK HOME THERAPY SERVICES OF NY-PT OT SLP PLLC VALLEY STREAM NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 43 108 $37,800 $350 2.9% 0.6% (718) 650-6230
46 LOW VISION WORKS OF FLORIDA LLC SARASOTA FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 107 $13,375 $125 4.1% 0.9% (941) 366-0011
47 BAYSIDE REHABILITATION BELLE HAVEN VA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 102 $11,220 $110 — 3.3% 7574425222103
48 HAND TO SHOULDER CENTER OF WISCONSIN, LTD. APPLETON WI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 34 101 $34,643 $343 — 5.2% (920) 730-8833
49 LJG THERAPY SERVICES LLC MIAMI FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 100 $20,000 $200 3.9% 0.9% (786) 344-5261
50 CORE THERAPY SERVICES PT OT PLLC BROOKLYN MI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 32 100 $13,000 $130 — 5.6% (347) 394-1600
51 FOX REHAB-NH, LLC BEDFORD NH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 20 99 $14,436 $146 — 21.7% (877) 407-3422
52 FOX REHAB OT AL LLC HUNTSVILLE AL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 22 97 $13,944 $144 — 6.2% (877) 407-3422
53 BRIGHTER THERAPY LLC BROOMALL FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 97 $17,460 $180 3.7% 0.8% (610) 457-1173
54 LIGHTHOUSE THERAPY LLC OCEAN SPRINGS MS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 11 95 $9,010 $95 — 5.1% (228) 875-5447
55 KINETIC HOME THERAPY SERVICES LLC WAYNE NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 94 $13,685 $146 8.5% 0.7% (973) 907-0924
56 EMPOWERME ASL LLC FORT MADISON NE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 75 94 $15,234 $162 — 11.9% (319) 219-5963
57 GEORGIA HAND SHOULDER AND ELBOW, P.C. ATLANTA GA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 23 93 $15,345 $165 — 2.8% 40435235221026
58 INDEPENDENCE REHAB LLC SCOTTSBLUFF UT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 25 90 $11,307 $126 — 7.9% (308) 632-1760
59 INNOVATIVE THERAPY SOLUTIONS AND CONSULTING LLC MANDAN ND OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 18 87 $16,730 $192 — 30.4% (701) 320-2488
60 JMB THERAPY SERVICES LLC BERWYN PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 25 84 $18,265 $217 9.8% 1.1% (610) 225-2451
61 INFANTE HAND REHABILITATION SPECIALISTS PLLC EL PASO TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 84 $21,000 $250 14.8% 1.9% (915) 259-8399
62 HODI LYMPHATIC CENTER LLC EDWARDSVILLE PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 84 $16,078 $191 9.8% 1.1% (570) 938-4634
63 INNOVATE PHYSICAL AND OCCUPATIONAL THERAPY PLLC SUGAR LAND TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 80 $18,130 $227 14.1% 1.8% (281) 916-6575
64 A PLUS PHYSICAL THERAPY LLC MCKINNEY TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 80 $16,800 $210 14.1% 1.8% (972) 548-9993
65 BLUEMARK REHAB LLC LAKEWOOD NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 79 $18,325 $232 2.1% 0.4% (718) 207-7735
66 MEMORYCARE CORPORATION CHICAGO IL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 22 79 $11,015 $139 16.8% 1.3% (630) 800-2444
67 NR-OT HAND REHAB PLLC BRONX NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 79 $9,875 $125 2.1% 0.4% (718) 822-4054
68 HAND CENTER OF SOUTHERN CALIFORNIA VAN NUYS CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 77 $9,625 $125 4.5% 0.6% (818) 785-9515
69 YONDER HEALTH CORPORATION MORRIS PLAINS NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 77 $8,950 $116 7.0% 0.6% (973) 970-8145
70 REHAB MAXX LLC PALATINE IL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 77 $18,864 $245 16.3% 1.2% (847) 258-5420
71 TRI-VISTA REHAB, INC. TUPELO MS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 30 76 $14,440 $190 — 4.1% —
72 33 HEALTH OPNC LLC MORRISVILLE NC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 11 75 $12,750 $170 11.9% 2.3% (919) 473-6033
73 THERAPY ON WHEELS INC RICHMOND IN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 75 $15,561 $207 — 2.2% (317) 332-9861
74 COLLECTIVE THERAPY CORP CHARLOTTE NC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 75 73 $14,064 $193 11.6% 2.3% (704) 285-8207
75 ATLANTA HAND THERAPY, LLC SMYRNA GA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 71 $18,105 $255 — 2.1% —
76 NORTHWEST PHYSICAL THERAPY, INC. HOFFMAN ESTATES IL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 69 $9,930 $144 14.6% 1.1% (847) 517-1900
77 FOX REHAB OT NC LLC MATTHEWS OH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 26 68 $9,775 $144 — 2.2% (877) 407-3422
78 F. WHITWORTH CORPORATION SHERMAN TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 67 $16,000 $239 11.8% 1.5% (903) 518-5678
79 SPECIALTY ORTHOPAEDICS, P.C. HERMITAGE PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 66 $11,550 $175 7.7% 0.9% (724) 342-2663
80 COMPREHENSIVE HAND AND REHABILITATION LLC WATERFORD MI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 64 $14,400 $225 — 3.6% (248) 724-4400
81 HANDS WITH CARE OCCUPATIONAL THERAPY AND REHABILITATION LLC BOCA RATON FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 64 $9,600 $150 2.5% 0.6% (561) 470-2205
82 MAGNOLIA NEURO REHAB, LLC HUNTSVILLE AL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 64 $6,791 $106 — 4.1% (256) 513-9444
83 ELEMENT THERAPY SOLUTIONS CEDAR RAPIDS IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 63 $11,025 $175 — 2.1% (319) 327-0310
84 ELITE THERAPY SERVICES CASPER WY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 63 $11,340 $180 — 9.6% (307) 277-1283
85 ON A ROLL PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 63 $18,750 $298 1.7% 0.3% (646) 653-6266
86 ANNAPOLIS LYMPHEDEMA CENTER ANNAPOLIS MD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 62 $10,738 $173 — 1.4% (410) 266-8010
87 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 62 $9,300 $150 10.9% 1.4% (725) 309-3053
88 RIBBONS PHYSICAL THERAPY, LLC KINGSPORT OH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 61 $10,370 $170 — 2.0% (423) 483-5195
89 LIGHTHOUSE FOR THE BLIND, INC SEATTLE WA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 60 $15,000 $250 — 2.8% (206) 436-2228
90 SUMNER SPECIALIZED PHYSICAL THERAPY PLLC COLVILLE NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 60 $13,500 $225 5.4% 0.5% (509) 684-5621
91 EMPOWER REHAB OCCUPATIONAL AND PHYSICAL THERAPY BRONX NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 60 $9,000 $150 1.6% 0.3% (718) 233-8293
92 EDEMA PARTNERS, PLLC LOUISVILLE KY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 59 $8,540 $145 — 3.6% (502) 373-2939
93 JAMES FERRARA LYMPHEDEMA THERAPIST LLC ROTONDA WEST FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 58 $10,440 $180 2.2% 0.5% (941) 830-3749
94 HANDS FOR LIVING LLC LYNNWOOD WA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 11 58 $9,725 $168 — 2.7% (425) 368-7943
95 HEALTHE LLC LAFAYETTE LA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 56 $8,850 $158 — 3.3% (337) 261-9188
96 OUTREACH PHYSICAL AND OCCUPATIONAL THERAPY AND SPEECH REHABILITATION, NEW YORK NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 56 $8,879 $159 1.5% 0.3% —
97 HAND TO HAND OCCUPATIONAL THERAPY PLLC GLENS FALLS NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 56 $11,200 $200 1.5% 0.3% (518) 223-0119
98 BRIDGEWAY CARE AT HOME LLC BRIDGEWATER NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 40 53 $6,146 $116 4.8% 0.4% (908) 722-7022
99 EMPOWERME REHABILITATION OKLAHOMA LLC TULSA OK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 53 $8,525 $161 — 5.6% (539) 207-5807
100 SAY YES THERAPY AND WELLNESS ORLANDO FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 52 $8,320 $160 2.0% 0.4% (321) 348-0317

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 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 →