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Market snapshot

97530 in MI CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97530 — Therapy procedure using functional activities

Billing groups
308
Named-group FFS services
671,797
FFS of Medicare
37%
Services YoY
-3.2%
FFS enrollment -6.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,746,676 services

671,797 observed fee-for-service (38%) · ~1,074,879 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
$58.9M
Named-group allowed amount
$20.8M
Named-group Medicare payments
$16.1M
Avg charge / svc
$88
Avg allowed / svc
$31
Avg payment / svc
$24
Average charge per group
$37 308 groups · avg submitted charge / service $497
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Specialty market — Qualified Speech Language Pathologist: 584 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Qualified Speech Language Pathologist 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 BEHAVIORAL OUTCOMES MANAGEMENT,LLC TROY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 18 438 $65,700 $150 premium 0.1% (248) 643-8900
2 QUALITY CARE REHABILITATION PROFESSIONALS, INC SHELBY TOWNSHIP QUALIFIED SPEECH LANGUAGE PATHOLOGIST 5 146 $9,626 $66 premium 0.0% (586) 286-9644

*"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 →