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Market snapshot

97167 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97167 — Evaluation for occupational therapy, typically 1 hour

Billing groups
230
Named-group FFS services
11,255
FFS of Medicare
49%
Services YoY
-1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~22,713 services

11,255 observed fee-for-service (50%) · ~11,458 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 — 97167 (CY2024)
CA 1,544 FL 1,259 NJ 1,203 NY 1,085 TX 1,069

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

Named-group submitted charges
$2.1M
Named-group allowed amount
$1.1M
Named-group Medicare payments
$862K
Avg charge / svc
$188
Avg allowed / svc
$101
Avg payment / svc
$77
Average charge per group
$86 230 groups · avg submitted charge / service $807
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 97167 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 539 $80,850 $150 50.4% (725) 309-3053
2 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 467 $70,050 $150 30.2% (725) 309-3053
3 FOX REHABILITATION SERVICES INC PLEASANTVILLE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 338 $48,588 $144 28.1% (877) 407-3422
4 FOX REHABILITATION SERVICES INC PLEASANTVILLE PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 323 $46,431 $144 30.7% (877) 407-3422
5 JMB THERAPY SERVICES LLC BERWYN PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 25 231 $50,229 $217 22.0% (610) 225-2451
6 INNOVATIVE THERAPIES GROUP INC SUMMERFIELD FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 216 $36,504 $169 17.2% (352) 433-0091
7 POWER PLUS REHAB, INC. DEERFIELD BEACH FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 164 $31,242 $190 13.0% (954) 829-8881
8 THERAPY ACHIEVEMENTS, LLC HUNTSVILLE AL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 159 $17,490 $110 59.8% (256) 509-4398
9 COASTAL HOME REHABILITATION, LLC BELMAR NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 53 155 $21,700 $140 12.9% (908) 670-6695
10 PARAGON OUTPATIENT REHABILITATION SERVICES LLC WINSTON SALEM NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 140 $15,107 $108 30.4% (336) 397-4200
11 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 131 $21,657 $165 26.6% (865) 270-3178
12 PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC AMHERST MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 198 129 $34,941 $271 78.2% (413) 336-5703
13 METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY AND ACUPUNCTURE PLL GARDEN CITY NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 461 122 $28,100 $230 11.2% (516) 745-8070
14 FOX REHABILITATION PHYSICAL THERAPY SERVICES LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 230 115 $16,531 $144 10.6% (877) 407-3422
15 VEIN SPECIALISTS OF THE SOUTH MACON GA PHYSICIAN ASSISTANT 7 113 $37,290 $330 23.8% (478) 743-2472
16 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 111 $19,980 $180 45.7% (801) 261-8346
17 ATI HOLDINGS, LLC BALTIMORE DE PHYSICAL THERAPIST IN PRIVATE PRACTICE 440 106 $26,916 $254 76.8% (410) 686-2270
18 GREENVILLE PROAXIS THERAPY LLC GREENVILLE SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 224 103 $30,900 $300 41.4% (864) 797-7320
19 ON-SITE PHYSICAL AND OCCUPATIONAL THERAPY PLLC WOODMERE NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 100 $22,500 $225 9.2% (516) 500-1750
20 EDEMA THERAPY COMPANY FOLEY AL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 95 $15,240 $160 35.7% (251) 533-4651
21 THE RECOVERY PROJECT, LLC LIVONIA MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 35 94 $30,650 $326 18.9% —
22 SPECTRUM FITNESS, LLC NORTHFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 94 $9,400 $100 7.8% (609) 204-4849
23 HEALTHY LYMPHATICS OF NC PC BOONE NC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 91 $15,925 $175 19.7% (828) 355-9584
24 THERAMAX REHAB INC TROY MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 88 $10,560 $120 17.7% (586) 335-8182
25 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 87 $20,805 $239 8.0% 71895188002102
26 ATHLETICO LTD CHICAGO IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 2173 85 $17,425 $205 9.4% (773) 252-2300
27 EMPOWERME REHABILITATION ILLINOIS LLC EDWARDSVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 355 84 $12,892 $153 9.3% (618) 706-9759
28 IDEAL PHYSICAL THERAPY OF TEXAS LLC DALLAS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 360 83 $20,584 $248 7.8% (469) 872-7461
29 DAVID P YESNICK OD PROF CORP LAS VEGAS NV OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 80 $19,200 $240 44.9% (702) 966-2020
30 INDEPENDENT PHYSICAL THERAPY OF GEORGIA LLC AUSTELL GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 544 78 $8,793 $113 16.5% (770) 384-1001
31 FOX REHAB OT CT LLC SOUTHBURY CT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 60 76 $10,925 $144 36.4% (877) 407-3422
32 LEA'S PLACE LLC PIKESVILLE MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 75 $12,300 $164 13.0% (410) 292-8725
33 OASIS THERAPY FREDERICK MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 72 $13,968 $194 12.5% (301) 898-2826
34 FOX REHAB OT MD LLC BALTIMORE MD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 62 71 $10,206 $144 12.3% (877) 407-3422
35 BUCKS REHABILITATION LLC QUAKERTOWN PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 26 70 $17,500 $250 6.7% (267) 994-0680
36 CANCER PARTNERS OF NEBRASKA PC LINCOLN NE MEDICAL ONCOLOGY 30 69 $18,492 $268 69.7% (402) 420-6090
37 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA CO PHYSICIAN ASSISTANT 109 66 $12,804 $194 16.7% (850) 474-8000
38 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 63 $18,623 $296 5.9% (210) 450-7044
39 TIER 1 THERAPY LLC WALLA WALLA ND PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 61 $6,405 $105 80.3% (509) 987-4316
40 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 61 $10,858 $178 13.2% (252) 635-6777
41 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 60 $8,414 $140 39.2% (785) 354-9591
42 HAND TO HAND THERAPY CLINIC LLC WHEAT RIDGE CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 60 $9,900 $165 15.2% (303) 233-9700
43 FOX REHABILITATION SERVICES LLC CHANTILLY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 298 60 $8,625 $144 13.4% (703) 810-3992
44 SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 524 60 $8,123 $135 5.5% (212) 529-5966
45 HOME CARE HEALTH SPECIALISTS LLC MIDDLETOWN PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 35 59 $6,699 $114 5.6% (855) 657-8723
46 CENTRALIA PHYSICAL THERAPY INC PS CENTRALIA WA PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 59 $9,440 $160 42.8% (360) 736-5273
47 GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR PHYSICIAN ASSISTANT 388 58 $16,878 $291 80.6% (541) 768-7700
48 SELECT CS PHYSICAL THERAPY PC LOS ANGELES CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 167 58 $11,890 $205 3.8% (310) 665-7100
49 ENERGIZE HOME PHYSICAL THERAPY PLLC SAINT JAMES NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 55 $8,250 $150 5.1% (203) 232-3410
50 LEGACY HEALTHCARE SERVICES INC DURHAM KS INTERNAL MEDICINE 3859 54 $6,701 $124 35.3% (919) 419-9600
51 ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC CHICAGO IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 252 53 $14,437 $272 5.9% (773) 435-9020
52 ATLANTIS PHYSICAL THERAPY ASSOC. TORRANCE CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 53 $7,526 $142 3.4% (310) 325-7404
53 CORTLYN THERAPY PC ELMHURST PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 146 52 $6,612 $127 4.9% (630) 413-5800
54 DEERING THERAPY SERVICES LTD KINGMAN AZ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 52 $6,240 $120 63.4% (928) 753-4263
55 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 52 $12,064 $232 4.1% (239) 312-7878
56 HAND SURGERY ASSOCIATES OF LI, PC Huntington NY ANESTHESIOLOGY 6 52 $12,320 $237 4.8% —
57 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 51 $6,876 $135 20.5% (877) 407-3422
58 CORTLYN THERAPY PC ELMHURST IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 146 50 $6,368 $127 5.5% (630) 413-5800
59 MARYLAND SPORTSCARE AND REHAB LLC DAMASCUS MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 50 $8,750 $175 8.7% (301) 253-6761
60 LESIN BALFOUR AND ZIV A PROF MED CORP SHERMAN OAKS CA HAND SURGERY 3 50 $5,000 $100 3.2% —
61 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 49 $18,248 $372 3.2% (916) 734-7777
62 ADVANCED PHYSICAL THERAPY LLC INDIANAPOLIS IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 49 $13,936 $284 10.0% (317) 352-5591
63 DUKE UNIVERSITY HEALTH SYSTEM, INC DURHAM NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 1053 48 $27,360 $570 10.4% (919) 684-8111
64 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 47 $7,708 $164 4.4% (865) 270-3178
65 MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE LLC ANN ARBOR MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 47 $9,541 $203 9.5% (734) 926-4710
66 ST CLOUD HOSPITAL SAINT CLOUD MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 218 47 $19,340 $411 42.0% (320) 251-2700
67 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 47 $9,048 $193 4.3% (718) 767-0610
68 BASIL R BESH MD INC FREMONT CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 47 $11,750 $250 3.0% (510) 857-1000
69 INSPIRATION THERAPY PLLC CYPRESS TX QUALIFIED SPEECH LANGUAGE PATHOLOGIST 11 47 $4,700 $100 4.4% (281) 853-9881
70 R AND B BENNETT ENTERPRISES, INC ERIE PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 46 $8,050 $175 4.4% 81483323011
71 COVELL CARE AND REHABILITATION LLC WINDSOR CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 57 44 $5,500 $125 11.1% (970) 204-4331
72 RE ACTIVE PHYSICAL THERAPY AND WELLNESS LOS ANGELES CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 15 44 $8,140 $185 2.8% (310) 433-0369
73 FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC GERMANTOWN WI NURSE PRACTITIONER 1260 43 $20,924 $487 12.5% (262) 253-5060
74 FREDERICK HEALTH HOSPITAL INC FREDERICK MD ORTHOPEDIC SURGERY 192 43 $7,525 $175 7.5% (240) 215-6310
75 LOS GATOS HAND THERAPY LLC LOS GATOS CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 42 $5,016 $119 2.7% (408) 358-1460
76 LIFESTYLE REHAB AND WELLNESS LLC WASHINGTON DC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 42 $4,279 $102 71.2% (202) 384-9921
77 PINNACLE HAND THERAPY LLC NEWPORT NEWS VA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 42 $8,190 $195 9.4% (757) 595-4880
78 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 42 $10,080 $240 3.5% (718) 767-0610
79 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 41 $6,724 $164 15.6% (865) 270-3178
80 ORTHOPAEDIC AND NEUROLOGICAL REHAB INC LAGUNA WOODS CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 395 41 $5,907 $144 2.7% (949) 243-5710
81 DASH THERAPY A PROFESSIONAL CORPORATION VISALIA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 41 $6,150 $150 2.7% (559) 627-3274
82 EMPOWERME ASL LLC FORT MADISON IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 75 41 $6,106 $149 30.4% (319) 219-5963
83 PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC AMHERST PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 198 39 $10,564 $271 3.7% (413) 336-5703
84 ADAPTIVE HOME THERAPY, INC. TOMS RIVER NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 25 39 $9,089 $233 3.2% (732) 886-6996
85 PAIN CONSULTANTS OF EAST TENNESSEE, PLLC KNOXVILLE TN NURSE PRACTITIONER 16 39 $7,800 $200 14.9% —
86 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 38 $6,498 $171 28.1% (515) 461-9786
87 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 38 $12,122 $319 14.5% (901) 226-3882
88 ADVANCED REHABILITATION SERVICES LLC KALISPELL MT PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 38 $7,030 $185 100.0% (406) 752-7250
89 COMPREHENSIVE THERAPEUTICS LTD STATESVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 37 $6,068 $164 4.1% (704) 994-5065
90 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 37 $10,138 $274 26.2% —
91 FOX REHABILITATION SERVICES OH, LLC WORTHINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 129 37 $5,319 $144 21.3% (877) 407-3422
92 THE NEUROLOGY INSTITUTE, LLC CORAL SPRINGS FL NEUROLOGY 25 36 $7,236 $201 2.9% (954) 803-9002
93 COMPREHENSIVE THERAPEUTICS LTD STATESVILLE MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 35 $5,740 $164 7.0% (704) 994-5065
94 MRN THERAPY HOLISTIC SERVICES SAN JUAN PR PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 35 $3,515 $100 74.5% (787) 999-5538
95 DEER PARK PT AND PTA PHYSICAL THERAPY AND REHABILITATION PLLC DEER PARK NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 35 $7,379 $211 3.2% (631) 940-9800
96 LIVEWELL ALLIANCE INC PLANTSVILLE CT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 35 $3,728 $107 16.7% (860) 628-9000
97 GEORGE FERRIS NEUROHOPE CENTER , LLC ALTOONA PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 34 $10,710 $315 3.2% (814) 515-1049
98 CARING EDGE OP LLC CHEYENNE WY PHYSICAL THERAPIST IN PRIVATE PRACTICE 36 34 $5,100 $150 100.0% (307) 414-8394
99 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 34 $9,248 $272 9.9% (920) 496-4700
100 ROCKLAND RECOVERY PHYSICAL THERAPY PLLC WEST NYACK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 33 $5,775 $175 3.0% (845) 354-7779

Showing the top 100 of 230 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 →