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Market snapshot

97530 in NC CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97530 — Therapy procedure using functional activities

Billing groups
329
Named-group FFS services
909,698
FFS of Medicare
43%
Services YoY
+27.2%
FFS enrollment -4.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,036,513 services

909,698 observed fee-for-service (45%) · ~1,126,815 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

Named-group submitted charges
$61.8M
Named-group allowed amount
$27.0M
Named-group Medicare payments
$20.8M
Avg charge / svc
$68
Avg allowed / svc
$30
Avg payment / svc
$23
Average charge per group
$34 329 groups · avg submitted charge / service $150
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Specialty market — Occupational Therapist In Private Practice: 46,270 services across 19 groups; top group 26%. See Occupational Therapist In Private Practice across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 97530 services, CY2024
#Physician group City Specialty Providers 97530 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 COLLECTIVE THERAPY CORP CHARLOTTE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 75 12,151 $848,730 $70 premium 26.3% 1.0% (704) 285-8207
2 33 HEALTH OPNC LLC MORRISVILLE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 11 5,907 $460,746 $78 premium 12.8% 0.5% (919) 473-6033
3 HEALTHY LYMPHATICS OF NC PC BOONE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 5,906 $531,238 $90 premium 12.8% 0.5% (828) 355-9584
4 REGENT LLC DURHAM OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 5,359 $510,333 $95 premium 11.6% 0.4% (336) 662-3737
5 FOX REHAB OT NC LLC MATTHEWS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 26 3,985 $246,292 $62 premium 8.6% 0.3% (877) 407-3422
6 GALBERTH HEALTH KNIGHTDALE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 2,422 $133,210 $55 premium 5.2% 0.2% (919) 917-2971
7 RAISE THE BAR THERAPY SERVICES HAMPSTEAD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 1,982 $215,775 $109 premium 4.3% 0.2% (910) 821-1700
8 XRHEALTH USA INC DESTIN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 27 1,181 $96,663 $82 premium 2.6% 0.1% (857) 990-6111
9 TEXAS HAND THERAPY LLC BRYAN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 1,015 $78,155 $77 premium 2.2% 0.1% (979) 703-1909
10 ADVANTAGE OT INC. JACKSONVILLE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 938 $93,800 $100 premium 2.0% 0.1% (910) 298-2331
11 EMPOWERME REHABILITATION COLORADO, LLC DENVER OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 98 877 $52,655 $60 premium 1.9% 0.1% (314) 673-6747
12 HAND SURGICAL ASSOCIATES LTD METAIRIE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 870 $67,860 $78 premium 1.9% 0.1% (504) 454-2191
13 THRIVE THERAPEUTICS ASHEVILLE INCORPORATED ASHEVILLE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 769 $57,675 $75 premium 1.7% 0.1% 82827495674262
14 PHOEBE CORPORATE AND COMMUNITY BASED SERVICES, INC. ALLENTOWN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 762 $45,720 $60 premium 1.6% 0.1% (610) 794-5162
15 EASTERN THERAPY SOLUTIONS, PLLC WILMINGTON OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 635 $44,450 $70 premium 1.4% 0.1% (910) 264-9317
16 HARTFORD ORTHOPAEDIC PLASTIC AND HAND SURGEONS INC GLASTONBURY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 574 $20,664 $36 premium 1.2% 0.0% (860) 527-7161
17 SPECIALIZED PHYSICAL AND OCCUPATIONAL THERAPY COLUMBUS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 564 $31,020 $55 premium 1.2% 0.0% (828) 980-8818
18 RDL THERAPEUTIC OUTPATIENT THERAPY FAYETTEVILLE OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 297 $14,850 $50 premium 0.6% 0.0% (910) 868-2002
19 THE THERAPY SOURCE, INC. CINCINNATI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 76 $7,136 $94 premium 0.2% 0.0% (513) 574-5400

*"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 →