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Market snapshot

97530 in RI CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97530 — Therapy procedure using functional activities

Billing groups
52
Named-group FFS services
154,999
FFS of Medicare
40%
Services YoY
+24.9%
FFS enrollment -3.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~378,887 services

154,999 observed fee-for-service (41%) · ~223,888 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
$12.2M
Named-group allowed amount
$5.2M
Named-group Medicare payments
$4.0M
Avg charge / svc
$79
Avg allowed / svc
$33
Avg payment / svc
$26
Average charge per group
$45 52 groups · avg submitted charge / service $100
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Specialty market — Physical Therapist In Private Practice: 132,383 services across 45 groups; top group 24%. See Physical Therapist In Private Practice across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 97530 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 SILVER FERN PRACTICE LLC NORWOOD PHYSICAL THERAPIST IN PRIVATE PRACTICE 289 31,924 $2,678,703 $84 24.1% 17.0% (781) 702-4630
2 PAPPAS PHYSICAL THERAPY LLC JOHNSTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 76 30,146 $2,608,810 $87 22.8% 16.0% (401) 351-0515
3 ELITE PHYSICAL THERAPY LLC WARWICK PHYSICAL THERAPIST IN PRIVATE PRACTICE 68 14,359 $1,092,471 $76 10.8% 7.6% (401) 737-4581
4 BAY STATE PHYSICAL THERAPY PC PROVIDENCE PHYSICAL THERAPIST IN PRIVATE PRACTICE 39 10,531 $705,400 $67 8.0% 5.6% (401) 490-9780
5 CONNECTIONS PHYSICAL THERAPY, INC. HOLLISTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 87 5,586 $433,582 $78 4.2% 3.0% (508) 429-4940
6 CONTROLOGY PHYSICAL THERAPY INC E GREENWICH PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 4,506 $225,950 $50 3.4% 2.4% (401) 885-0051
7 RENEW PHYSICAL THERAPY PC NOVATO PHYSICAL THERAPIST IN PRIVATE PRACTICE 16 3,994 $239,640 $60 3.0% 2.1% (415) 895-1705
8 METRO PHYSICAL OCCUPATIONAL AND SPEECH THERAPY OF CT LLC WESTERLY PHYSICAL THERAPIST IN PRIVATE PRACTICE 16 3,817 $348,245 $91 2.9% 2.0% (401) 348-1010
9 INSPIRE PHYSICAL THERAPY AND WELLNESS, LLC WESTERLY PHYSICAL THERAPIST IN PRIVATE PRACTICE 18 2,196 $123,720 $56 1.7% 1.2% (401) 378-1802
10 CJS PHYSICAL THERAPY SERVICES INC NARRAGANSETT PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 2,082 $208,200 $100 1.6% 1.1% (401) 584-9098
11 PREHAB SPORTS MEDICINE SERVICES INC WARWICK PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 1,987 $119,220 $60 1.5% 1.1% (401) 463-3060
12 PEAK PHYSICAL THERAPY LLC CUMBERLAND PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 1,945 $97,295 $50 1.5% 1.0% (401) 999-7325
13 PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC AMHERST PHYSICAL THERAPIST IN PRIVATE PRACTICE 198 1,692 $117,408 $69 1.3% 0.9% (413) 336-5703
14 METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY AND ACUPUNCTURE PLL GARDEN CITY PHYSICAL THERAPIST IN PRIVATE PRACTICE 461 1,639 $155,705 $95 1.2% 0.9% (516) 745-8070
15 WARWICK AVENUE PHYSICAL THERAPY INC WARWICK PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 1,576 $70,920 $45 1.2% 0.8% (401) 941-0494
16 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY INC EAST BRIDGEWATER PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 1,527 $76,350 $50 1.2% 0.8% (508) 378-4035
17 PROACTIVE PHYSICAL THERAPY INC NARRAGANSETT PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 1,074 $53,700 $50 0.8% 0.6% (401) 789-2077
18 CONCIERGE PHYSICAL THERAPY, INC. SUTTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 20 1,059 $87,065 $82 0.8% 0.6% (508) 861-1010
19 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY INC WARWICK PHYSICAL THERAPIST IN PRIVATE PRACTICE 14 955 $71,969 $75 0.7% 0.5% (401) 384-6490
20 F.I.T. PT, LLC BOCA RATON PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 815 $48,755 $60 0.6% 0.4% (561) 501-1983
21 SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. BUFFALO PHYSICAL THERAPIST IN PRIVATE PRACTICE 85 790 $50,084 $63 0.6% 0.4% (716) 831-8214
22 ACHIEVE PHYSICAL THERAPY LLC ACTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 27 715 $61,147 $86 0.5% 0.4% (978) 263-0007
23 BAY STATE PHYSICAL THERAPY OF RANDOLPH INC BRAINTREE PHYSICAL THERAPIST IN PRIVATE PRACTICE 441 713 $53,587 $75 0.5% 0.4% (781) 961-3370
24 MILESTONE REHAB LLC PROVIDENCE PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 696 $38,280 $55 0.5% 0.4% (401) 751-6900
25 GREENDALE PHYSICAL THERAPY LLC SHREWSBURY PHYSICAL THERAPIST IN PRIVATE PRACTICE 36 629 $62,900 $100 0.5% 0.3% (508) 753-7780
26 PLATINUM PHYSICAL THERAPY, INC. ASHLAND PHYSICAL THERAPIST IN PRIVATE PRACTICE 20 588 $36,900 $63 0.4% 0.3% (508) 881-6750
27 IVYREHAB NEW HAMPSHIRE LLC NASHUA PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 510 $40,530 $79 0.4% 0.3% (603) 314-8175
28 RPM REHAB INC YAKIMA PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 491 $24,220 $49 0.4% 0.3% (509) 248-6113
29 PREMIER PHYSICAL THERAPY LLC WESTERLY PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 380 $22,800 $60 0.3% 0.2% (401) 596-1616
30 ACADEMY PHYSICAL THERAPY INC PROVIDENCE PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 356 $30,814 $87 0.3% 0.2% (401) 227-9320
31 ATHLETICO LTD CHICAGO PHYSICAL THERAPIST IN PRIVATE PRACTICE 2173 327 $24,525 $75 0.2% 0.2% (773) 252-2300
32 CARROLL PHYSICAL THERAPY MASHPEE PHYSICAL THERAPIST IN PRIVATE PRACTICE 11 320 $20,828 $65 0.2% 0.2% (508) 477-4800
33 DLJPT INC SAN FRANCISCO PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 316 $18,960 $60 0.2% 0.2% (415) 664-6492
34 BODY MECHANIX PHYSICAL THERAPY, INC. WAKEFIELD PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 310 $21,284 $69 0.2% 0.2% (401) 782-4049
35 SELECT SAN DIEGO PHYSICAL THERAPY PC SAN DIEGO PHYSICAL THERAPIST IN PRIVATE PRACTICE 55 285 $22,515 $79 0.2% 0.2% (858) 793-1460
36 FOX REHAB PT CT, LLC SOUTHBURY PHYSICAL THERAPIST IN PRIVATE PRACTICE 75 252 $15,649 $62 0.2% 0.1% (877) 407-3422
37 PERFORMANCE PHYSICAL THERAPY, INC HOCKESSIN PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 246 $15,990 $65 0.2% 0.1% (302) 234-2288
38 ACCESS PHYSICAL THERAPY AND WELLNESS LLC DANBURY PHYSICAL THERAPIST IN PRIVATE PRACTICE 24 238 $16,422 $69 0.2% 0.1% (203) 702-4018
39 PAGGI PHYSICAL THERAPY AND SPORTS REHABILITATION, INC BROOKLINE PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 218 $18,530 $85 0.2% 0.1% (845) 590-9450
40 MANSFIELD PHYSICAL THERAPY AND WELLNESS LLC MANSFIELD PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 136 $6,120 $45 0.1% 0.1% (508) 339-7999
41 REFORM PHYSICAL THERAPY INC TOPSHAM PHYSICAL THERAPIST IN PRIVATE PRACTICE 23 134 $9,380 $70 0.1% 0.1% (207) 725-4400
42 SYNERGY HEALTHCARE CORP FAIRHAVEN PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 107 $6,420 $60 0.1% 0.1% (508) 991-2918
43 PRO SPORTS THERAPY INC WALTHAM PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 100 $5,000 $50 0.1% 0.1% (781) 487-9944
44 YANNATOS PHYSICAL THERAPY INC SOUTH YARMOUTH PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 68 $5,366 $79 0.1% 0.0% (508) 619-7902
45 IVYREHAB NETWORK INC EAST WINDSOR PHYSICAL THERAPIST IN PRIVATE PRACTICE 644 48 $4,080 $85 0.0% 0.0% (609) 426-4442

*"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 →