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Market snapshot

97168 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97168 — Re-evaluation for occupational therapy, typically 30 minutes

Billing groups
323
Named-group FFS services
21,991
FFS of Medicare
49%
Services YoY
+8.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~42,371 services

21,991 observed fee-for-service (52%) · ~20,380 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 — 97168 (CY2024)
CA 4,742 NJ 4,158 NY 3,180 FL 2,419 PA 1,535

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

Named-group submitted charges
$3.3M
Named-group allowed amount
$1.5M
Named-group Medicare payments
$1.2M
Avg charge / svc
$151
Avg allowed / svc
$70
Avg payment / svc
$54
Average charge per group
$0 323 groups · avg submitted charge / service $900
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 97168 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CANCER PARTNERS OF NEBRASKA PC LINCOLN NE MEDICAL ONCOLOGY 30 462 $84,970 $184 85.6% (402) 420-6090
2 PALM BEACH PHYSICAL THERAPY GROUP LLC BOYNTON BEACH NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 445 $30,852 $69 14.0% (561) 317-8902
3 ESD PT OT AND SLP PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 87 406 $48,720 $120 12.8% (718) 473-3808
4 ACTION THERAPY GROUP LLC PENSACOLA FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 63 369 $34,317 $93 15.3% (850) 741-6715
5 HUMBOLDT HAND AND FOOT THERAPY EUREKA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 360 $40,320 $112 7.6% (707) 441-1931
6 COASTAL HOME REHABILITATION, LLC BELMAR NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 53 312 $35,880 $115 7.5% (908) 670-6695
7 HODI LYMPHATIC CENTER LLC EDWARDSVILLE PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 300 $39,239 $131 19.5% (570) 938-4634
8 ALL BE HEALTHY LLC BLOOMFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 287 $78,685 $274 6.9% (732) 784-3578
9 REGENERATIVE MEDICINE OF SOUTH JERSEY LLC RIO GRANDE NJ CHIROPRACTIC 10 274 $24,350 $89 6.6% (609) 224-1576
10 ALASKA HAND REHABILITATION INC ANCHORAGE AK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 255 $45,645 $179 70.4% (907) 563-8318
11 HANDS ON HANDS REHABILITATION CENTER, INC COSTA MESA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 252 $32,208 $128 5.3% (714) 556-2288
12 PETERSEN PHYSICAL THERAPY PC MESA AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 248 $37,200 $150 20.2% (480) 719-8080
13 SPOONER PHYSICAL THERAPY AND HAND REHAB, PC SCOTTSDALE AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 243 $31,029 $128 19.8% (480) 924-5514
14 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 230 $44,756 $195 15.6% (301) 774-0500
15 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 224 $42,112 $188 18.2% (602) 385-2115
16 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 221 $42,432 $192 26.7% (757) 827-2480
17 PRECISION REHAB OCCUPATIONAL PHYSICAL HAND THERAPY PLLC FRESH MEADOWS NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 207 $31,050 $150 6.5% (718) 380-8300
18 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 199 $22,487 $113 41.1% (515) 461-9786
19 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 197 $72,851 $370 4.2% (310) 443-8999
20 CHARLESTON HAND THERAPY CENTER CHARLESTON SC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 186 $19,224 $103 71.0% (843) 766-6494
21 ADVANCED WELLNESS MARLBORO NJ CHIROPRACTIC 16 183 $36,600 $200 4.4% (732) 431-2155
22 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 179 $72,316 $404 44.9% (775) 783-6190
23 SN KENTUCKIANA REHAB, LLC LOUISVILLE KY PHYSICAL THERAPIST IN PRIVATE PRACTICE 316 177 $16,815 $95 38.8% (502) 537-7870
24 CALIFORNIA HAND REHABILITATION AND WELLNESS INC. NAPA CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 176 $26,400 $150 3.7% (707) 259-1152
25 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 172 $24,080 $140 11.7% (443) 481-1000
26 NIAGARA THERAPY LLC ERIE PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 167 $20,875 $125 10.9% (814) 464-0627
27 PROCARE OCCUPATIONAL THERAPY AND PHYSICAL THERAPY PLLC RIVERHEAD NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 161 $32,200 $200 5.1% (631) 591-0838
28 LAFLEUR THERAPY, INC. OPELOUSAS LA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 156 $12,168 $78 30.5% (337) 678-1063
29 PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC SILVER SPRING FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 154 $19,250 $125 6.4% (301) 592-8200
30 PRESTIGE REHAB LLC COLTS NECK NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 60 154 $15,315 $99 3.7% (855) 678-8887
31 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 149 $14,900 $100 3.1% (858) 455-9100
32 MEDICAL DOCTOR MILENA KOLESNIKOVA PC STATEN ISLAND NY DIAGNOSTIC RADIOLOGY 5 146 $11,374 $78 4.6% (347) 201-5081
33 THE WESTON GROUP INC CHARLOTTE KY PHYSICAL THERAPIST IN PRIVATE PRACTICE 236 145 $11,500 $79 31.8% (980) 245-2676
34 HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC HOLMDEL NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 130 $14,950 $115 3.1% —
35 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC HANNIBAL MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 22 129 $9,804 $76 54.4% (573) 406-0576
36 SPORTSMED PT LLC GLEN ROCK NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 211 129 $25,662 $199 3.1% (201) 445-7000
37 PROFLEX PHYSICAL THERAPY OF MARYLAND, LLC WALDORF MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 30 127 $12,573 $99 8.6% (301) 870-7366
38 RUTHE B COWL REHABILITATION CENTER LAREDO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 126 $13,500 $107 12.1% (956) 722-2431
39 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 123 $24,518 $199 8.0% (610) 353-0800
40 BEHAVIORAL OUTCOMES MANAGEMENT,LLC TROY MI QUALIFIED SPEECH LANGUAGE PATHOLOGIST 18 123 $23,652 $192 65.4% (248) 643-8900
41 PROFLEX PHYSICAL THERAPY OF MARYLAND, LLC WALDORF VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 30 122 $12,078 $99 14.7% (301) 870-7366
42 DIGNITY SELECT NEVADA LLC HENDERSON NV PHYSICAL THERAPIST IN PRIVATE PRACTICE 106 122 $14,640 $120 30.6% (702) 564-4116
43 JORDAN C BLACK MORRISTOWN TN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 26 119 $16,660 $140 43.9% (423) 317-7772
44 SELECT CS PHYSICAL THERAPY PC LOS ANGELES CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 167 119 $15,440 $130 2.5% (310) 665-7100
45 SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 582 117 $14,141 $121 3.7% (646) 841-1414
46 THERAPY PLUS CLINIC, INC. FOREST CITY NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 117 $20,229 $173 21.5% (828) 245-5003
47 OSPREY REHABILITATION LLC NORTHFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 55 113 $10,170 $90 2.7% (609) 645-0505
48 HEALTHE LLC LAFAYETTE LA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 113 $10,280 $91 22.1% (337) 261-9188
49 ABSOLUTE THERAPY SERVICES LLC NORTHBROOK IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 16 112 $10,900 $97 24.7% (847) 644-3628
50 PREMIER MEDICAL GROUP OF MISSISSIPPI LLC KOSCIUSKO MS NURSE PRACTITIONER 32 110 $13,200 $120 50.2% (662) 289-3588
51 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 110 $13,200 $120 7.5% (301) 530-1010
52 NORTH CENTRAL HAND REHABILITATION, INC SANDUSKY OH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 107 $9,630 $90 23.4% —
53 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 106 $12,084 $114 2.2% —
54 EDEMA THERAPY COMPANY FOLEY AL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 106 $10,600 $100 43.1% (251) 533-4651
55 PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC. LAFAYETTE LA PHYSICAL THERAPIST IN PRIVATE PRACTICE 11 105 $9,975 $95 20.5% (337) 232-7080
56 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 105 $28,588 $272 23.4% (303) 695-6060
57 EAST BAY HAND MEDICAL CENTER, INC SAN LEANDRO CA ORTHOPEDIC SURGERY 4 104 $11,750 $113 2.2% 51029705504
58 SPECIALTY ORTHOPAEDICS, P.C. HERMITAGE PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 102 $12,750 $125 6.6% (724) 342-2663
59 PINNACLE HAND THERAPY LLC NEWPORT NEWS VA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 101 $12,625 $125 12.2% (757) 595-4880
60 HAND THERAPY PARTNERS LLC MESA AZ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 8 100 $11,000 $110 8.1% (480) 565-2276
61 REDONDO ORTHOPEDIC PHYSICAL THERAPY REDONDO BEACH CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 99 $12,870 $130 2.1% (310) 376-9222
62 HAND TO HAND THERAPY CLINIC LLC WHEAT RIDGE CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 98 $10,990 $112 21.9% (303) 233-9700
63 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY DC PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 97 $20,661 $213 56.7% (301) 774-0500
64 PERFORMANCE MEDICAL GROUP OF SOMERSET SOMERSET NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 26 97 $87,300 $900 2.3% 9087562424135
65 PROCARE PHYSICAL THERAPY AND HAND CENTER PORTSMOUTH NH PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 95 $10,693 $113 100.0% (603) 431-5600
66 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 95 $8,479 $89 2.3% (856) 690-1616
67 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 94 $17,706 $188 9.0% (210) 450-7044
68 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 93 $14,043 $151 8.9% (210) 804-5400
69 THRIVE THERAPEUTICS ASHEVILLE INCORPORATED ASHEVILLE NC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 91 $13,650 $150 16.8% 82827495674262
70 PROFESSIONAL OCCUPATIONAL AND PHYSICAL THERAPY, PLLC WHITESTONE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 485 90 $10,440 $116 2.8% (718) 767-0610
71 MOSS REHABILITATION CENTER, LLP SPRINGTOWN TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 88 $9,000 $102 8.4% (817) 220-6617
72 JIN MOON CHIROPRACTIC GROUP INC BUENA PARK CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 88 $7,040 $80 1.9% (714) 484-9000
73 DR PHYSIO THERAPY AND WELLNESS FORT LAUDERDALE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 86 $9,886 $115 3.6% (954) 369-5787
74 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 84 $9,954 $118 5.5% (570) 271-6144
75 GOLDEN GATE HAND THERAPY INC SAN FRANCISCO CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 84 $8,400 $100 1.8% (415) 359-1444
76 KONLIAN,O'NEILL AND ASSOCIATES, P.A. LEWES DE PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 83 $8,300 $100 66.9% (302) 945-0200
77 EL CERRITO HAND THERAPY AND ACUPUNCTURE REHAB INC EL CERRITO CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 82 $10,496 $128 1.7% (510) 525-2700
78 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 80 $28,160 $352 5.2% (267) 339-3500
79 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 78 $18,999 $244 3.2% —
80 SUSQUEHANNA VALLEY MEDICAL SPECIALTIES, PC BLOOMSBURG PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 78 $5,850 $75 5.1% (570) 784-7300
81 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 77 $15,785 $205 1.6% (916) 681-8852
82 PROACTIVE THERAPY OF NORTH CAROLINA INC WILSON NC ORTHOPEDIC SURGERY 537 77 $7,700 $100 14.2% (252) 243-6818
83 SYNERGY ORTHOPEDIC SPECIALISTS INC SAN DIEGO CA PHYSICIAN ASSISTANT 67 77 $14,640 $190 1.6% —
84 LEA'S PLACE LLC PIKESVILLE MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 74 $8,413 $114 5.0% (410) 292-8725
85 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 73 $17,301 $237 29.4% —
86 RICHARDS PHYSICAL THERAPY INC MISSION VIEJO CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 72 $7,200 $100 1.5% (949) 916-2601
87 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 72 $20,448 $284 3.0% (904) 953-2000
88 SUMMIT HAND THERAPY LIMITED PARTNERSHIP LAYTON UT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 72 $5,400 $75 61.5% (801) 773-2633
89 ORTHOPEDIC ASSOC OF LANCASTER LTD LANCASTER PA ORTHOPEDIC SURGERY 80 70 $10,710 $153 4.6% (717) 299-4871
90 PHYSICAL MEDICINE AND REHABILITATION CENTER PA ENGLEWOOD NJ PHYSICAL MEDICINE AND REHABILITATION 25 70 $7,000 $100 1.7% (201) 567-2277
91 BRIELLE INTEGRATED HEALTHCARE LLC BRIELLE NJ CHIROPRACTIC 6 69 $13,800 $200 1.7% (732) 872-6595
92 FITNESS FORUM OF MARYLAND, LLC ANNAPOLIS MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 69 $9,780 $142 4.7% (410) 295-4941
93 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER OK ORTHOPEDIC SURGERY 2158 68 $8,160 $120 68.7% (907) 694-8085
94 PREMIER PHYSICAL THERAPY AND REHAB LLC CAPE GIRARDEAU MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 68 $7,820 $115 28.7% (573) 335-7868
95 WEST COAST THERAPY SPECIALIST LLC CLEARWATER FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 68 $9,537 $140 2.8% (727) 768-3877
96 LOS GATOS HAND THERAPY LLC LOS GATOS CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 67 $7,844 $117 1.4% (408) 358-1460
97 ADVANCED PHYSICAL THERAPY AND SPORTS MEDICINE SC APPLETON WI PHYSICAL THERAPIST IN PRIVATE PRACTICE 58 67 $6,986 $104 50.8% (920) 968-1010
98 SPINE AND SPORTS MEDICINE OF ABERDEEN LLC ABERDEEN NJ CHIROPRACTIC 5 67 $57,100 $852 1.6% (732) 997-4988
99 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 65 $9,880 $152 24.8% (843) 491-4937
100 INFANTE HAND REHABILITATION SPECIALISTS PLLC EL PASO TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 65 $13,000 $200 6.2% (915) 259-8399

Showing the top 100 of 323 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 →