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Market snapshot

97530 in DE CY2023

Medicare Part B FFS · CY2023 · as published by CMS

97530 — Therapy procedure using functional activities

Billing groups
83
Named-group FFS services
272,060
FFS of Medicare
67%
Services YoY
+22.0%
FFS enrollment -0.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~387,793 services

272,060 observed fee-for-service (70%) · ~115,733 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Named-group submitted charges
$21.5M
Named-group allowed amount
$8.9M
Named-group Medicare payments
$6.9M
Avg charge / svc
$79
Avg allowed / svc
$33
Avg payment / svc
$25
Average charge per group
$38 83 groups · avg submitted charge / service $156
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 97530 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ATI HOLDINGS, LLC BALTIMORE PHYSICAL THERAPIST IN PRIVATE PRACTICE 440 57,794 $5,399,657 $93 16.2% (410) 686-2270
2 DYNAMIC THERAPY SERVICES LLC WILMINGTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 106 46,371 $3,759,430 $81 13.0% (302) 764-8192
3 FOX REHABILITATION SERVICES INC PLEASANTVILLE PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 30,331 $1,935,626 $64 8.5% (877) 407-3422
4 LINDELL PHYSICAL THERAPY OF DELAWARE PA WILMINGTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 14 8,071 $768,177 $95 2.3% (302) 753-2700
5 PREMIER PHYSICAL THERAPY AND SPORTS PERFORMANCE LIMITED PARTNERSHIP LEWES PHYSICAL THERAPIST IN PRIVATE PRACTICE 38 7,453 $782,565 $105 2.1% (302) 727-0075
6 SYRACUSE PHYSICAL THERAPY PARTNERS MILLSBORO PHYSICAL THERAPIST IN PRIVATE PRACTICE 17 7,198 $560,641 $78 2.0% (302) 945-4250
7 ELITE PT RB LLC REHOBOTH BEACH PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 7,177 $430,620 $60 2.0% (302) 226-2691
8 ANNABELLE MCWHITE LLC BETHANY BEACH PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 6,785 $653,056 $96 1.9% (302) 616-3651
9 KONLIAN,O'NEILL AND ASSOCIATES, P.A. LEWES PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 6,630 $495,685 $75 1.9% (302) 945-0200
10 PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC SELBYVILLE PHYSICAL THERAPIST IN PRIVATE PRACTICE 25 6,522 $555,862 $85 1.8% (302) 564-7476
11 IVYREHAB DELAWARE LLC NEWARK PHYSICAL THERAPIST IN PRIVATE PRACTICE 18 6,508 $357,940 $55 1.8% (302) 565-2626
12 ELITE PT LLC WILMINGTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 16 6,436 $395,143 $61 1.8% (302) 477-1536
13 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON PHYSICIAN ASSISTANT 59 5,690 $510,634 $90 1.6% (302) 655-9494
14 LANGFORD CONSULTING INCORPORATED ALBUQUERQUE PHYSICAL THERAPIST IN PRIVATE PRACTICE 20 3,701 $222,060 $60 1.0% (505) 266-3655
15 PERFORMANCE ENHANCEMENT PROFESSIONALS LLC DOVER PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 3,231 $227,014 $70 0.9% (302) 423-0236
16 SPORTSCARE AND REHAB MANAGEMENT, LLC WILMINGTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 2,930 $206,911 $71 0.8% (302) 239-2800
17 PRIVIA MEDICAL GROUP, LLC ARLINGTON NURSE PRACTITIONER 1477 2,452 $150,280 $61 0.7% —
18 PERFORMANCE PHYSICAL THERAPY, INC HOCKESSIN PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 2,361 $153,465 $65 0.7% (302) 234-2288
19 PHYSICAL THERAPY CLINIC INC JACKSONVILLE PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 2,306 $198,665 $86 0.6% (910) 577-3355
20 BENCHMARK PHYSICAL THERAPY OF DELAWARE LLC MILLSBORO PHYSICAL THERAPIST IN PRIVATE PRACTICE 20 2,269 $101,682 $45 0.6% (302) 663-9890
21 TOTAL HEALTH AND REHABILITATION INC WILMINGTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 2,201 $91,247 $41 0.6% (302) 261-9535
22 HOME CARE HEALTH SPECIALISTS LLC MIDDLETOWN PHYSICAL THERAPIST IN PRIVATE PRACTICE 35 2,125 $99,875 $47 0.6% (855) 657-8723
23 LOCAL SOLUTIONS LLC DOVER PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 2,028 $189,116 $93 0.6% (302) 542-8151
24 PHOEBE CORPORATE AND COMMUNITY BASED SERVICES, INC. ALLENTOWN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 19 1,945 $116,700 $60 0.5% (610) 794-5162
25 COASTAL CARE PHYSICAL THERAPY INC SELBYVILLE PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 1,924 $86,625 $45 0.5% (302) 524-8333
26 H2 REHABILITATION SERVICES OF PENNSYLVANIA LLC READING PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 1,920 $134,400 $70 0.5% (610) 796-9687
27 US PT TEXAS INC SOUTHAVEN PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 1,787 $166,191 $93 0.5% (662) 379-8997
28 UD HEALTH LLC NEWARK PHYSICAL THERAPIST IN PRIVATE PRACTICE 50 1,637 $110,148 $67 0.5% (302) 831-8893
29 SPINE AND ORTHOPEDIC SPECIALISTS NEWARK PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 1,610 $106,700 $66 0.5% (302) 633-1280
30 FOX REHAB PT MD LLC BALTIMORE PHYSICAL THERAPIST IN PRIVATE PRACTICE 88 1,517 $93,603 $62 0.4% (877) 407-3422
31 TRUE SPORTS PHYSICAL THERAPY, LLC BALTIMORE PHYSICAL THERAPIST IN PRIVATE PRACTICE 50 1,508 $91,645 $61 0.4% (410) 403-3060
32 FIRST STATE ORTHOPAEDICS PA NEWARK PHYSICIAN ASSISTANT 98 1,503 $109,478 $73 0.4% (302) 731-2888
33 OCCUPATIONAL THERAPY OF DELAWARE MILFORD OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 1,487 $126,395 $85 0.4% (302) 491-4813
34 EDELMAN SPINE AND ORTHOPAEDIC PHYSICAL THERAPY, LLC DOVER PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 1,445 $54,383 $38 0.4% (302) 734-8000
35 PROGRESS PHYSICAL THERAPY LLC PHILADELPHIA PHYSICAL THERAPIST IN PRIVATE PRACTICE 437 1,436 $100,681 $70 0.4% (215) 662-0397
36 THRIVE PHYSICAL THERAPY MIDDLETOWN PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 1,435 $125,383 $87 0.4% (302) 834-8400
37 ELITE WELLNESS AND SPORTS MEDICINE CENTER HACKENSACK CHIROPRACTIC 2 1,397 $134,629 $96 0.4% (201) 646-2500
38 MABCF LLC MILFORD PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 1,237 $144,323 $117 0.3% (302) 396-0473
39 THE BACK CLINIC, INC. WILMINGTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 1,210 $99,349 $82 0.3% (302) 995-2100
40 AGING IN PLACE SPECIALISTS LEWES PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 1,117 $67,960 $61 0.3% (302) 444-8318
41 JOYNT HEALTH LEWES PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 1,087 $74,321 $68 0.3% (302) 648-3360
42 AQUAWORX BERLIN PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 1,030 $87,550 $85 0.3% (410) 208-1525
43 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS ORTHOPEDIC SURGERY 1373 1,027 $81,133 $79 0.3% (508) 385-4212
44 INVICTUS PHYSICAL THERAPY LLC PHILADELPHIA PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 941 $50,045 $53 0.3% (267) 548-4476
45 PRESTIGE REHAB PA PLLC PITTSBURGH OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 898 $46,265 $52 0.3% (855) 678-8887
46 DEAN HEALTH SYSTEMS INC MADISON PHYSICIAN ASSISTANT 1200 853 $68,240 $80 0.2% (608) 260-2900
47 ORTHOPAEDIC ASSOCIATES OF ALLENTOWN ALLENTOWN ORTHOPEDIC SURGERY 42 824 $85,550 $104 0.2% (610) 973-6200
48 REHAB 2 PERFORM LLC FREDERICK PHYSICAL THERAPIST IN PRIVATE PRACTICE 81 784 $75,554 $96 0.2% (301) 798-4838
49 JAG-ONE PHYSICAL THERAPY LLC WEST ORANGE PHYSICAL THERAPIST IN PRIVATE PRACTICE 312 727 $64,620 $89 0.2% (973) 669-0078
50 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA PHYSICIAN ASSISTANT 323 664 $48,374 $73 0.2% (303) 695-6060
51 TOTAL PERFORMANCE PHYSICAL THERAPY NORTH WALES PHYSICAL THERAPIST IN PRIVATE PRACTICE 18 634 $59,154 $93 0.2% (215) 997-9898
52 LAKESIDE PHYSICAL THERAPY, LLC LAUREL PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 613 $41,280 $67 0.2% (302) 280-6920
53 REHABILITATION CONSULTANTS, INC. DELMAR PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 543 $45,705 $84 0.2% (302) 466-3230
54 REHAB1 LLC MEDIA PHYSICAL THERAPIST IN PRIVATE PRACTICE 77 527 $39,525 $75 0.1% (484) 266-0387
55 ADVANTAGE RESULTS PHYSICAL THERAPY LLC HARRISONBURG PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 442 $27,626 $63 0.1% (540) 810-2490
56 JMB THERAPY SERVICES LLC BERWYN OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 25 411 $24,485 $60 0.1% (610) 225-2451
57 DRAYER PHYSICAL THERAPY INSTITUTE LLC LEMOYNE PHYSICAL THERAPIST IN PRIVATE PRACTICE 225 390 $15,375 $39 0.1% (223) 322-7562
58 SOMERSET PT PRINCESS ANNE PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 378 $29,992 $79 0.1% (443) 888-6105
59 FULL RANGE HEALTH SERVICES LLC EXTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 15 344 $19,608 $57 0.1% (610) 241-2685
60 BEAR PHYSICAL THERAPY AND WELLNESS INC BEAR PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 312 $29,958 $96 0.1% (201) 744-3276
61 DELAWARE PHYSIATRY DOVER NURSE PRACTITIONER 18 298 $23,795 $80 0.1% (302) 387-1407
62 TYRE PHYSICAL THERAPY AND PERFORMANCE LLC MILLSBORO PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 294 $20,580 $70 0.1% (302) 648-5060
63 SERC REHABILITATION PARTNERS LLC BELTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 217 271 $24,970 $92 0.1% (816) 318-0434
64 OPTIMUM PHYSICAL THERAPY ASSOCIATES, P.C. WEST CHESTER PHYSICAL THERAPIST IN PRIVATE PRACTICE 10 249 $14,940 $60 0.1% (610) 344-9725
65 ORTHOSC LLC MYRTLE BEACH PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 231 $23,100 $100 0.1% (843) 491-4937
66 DUKE UNIVERSITY HEALTH SYSTEM, INC DURHAM PHYSICAL THERAPIST IN PRIVATE PRACTICE 1053 226 $35,256 $156 0.1% (919) 684-8111
67 FOX REHABILITATION SERVICES ME LLC SCARBOROUGH PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 218 $13,538 $62 0.1% (877) 407-3422
68 PEACHTREE ORTHOPAEDIC CLINIC PA ATLANTA PHYSICIAN ASSISTANT 132 212 $22,260 $105 0.1% (404) 425-1577
69 MULTICARE HEALTH SYSTEM GIG HARBOR NURSE PRACTITIONER 2289 205 $21,525 $105 0.1% —
70 SOUTH PACIFIC PHYSICAL THERAPY, INC SHERMAN OAKS PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 202 $13,736 $68 0.1% (858) 724-1519
71 MORGANTOWN PHYSICAL THERAPY ASSOCIATES, INC. MORGANTOWN PHYSICAL THERAPIST IN PRIVATE PRACTICE 22 201 $9,286 $46 0.1% (304) 599-2515
72 AGILITY PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC VENICE PHYSICAL THERAPIST IN PRIVATE PRACTICE 11 196 $17,187 $88 0.1% (941) 484-8107
73 PHYSIOFIT DELAWARE LLC WILMINGTON PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 190 $8,775 $46 0.1% (302) 652-9593
74 JOHN GOETZE PHYSICAL THERAPY, INC JACKSONVILLE PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 157 $16,391 $104 0.0% (904) 573-2100
75 CALLAWAY FRANCESCHINI LLC NEWARK PHYSICAL THERAPIST IN PRIVATE PRACTICE 26 153 $18,008 $118 0.0% (302) 864-2222
76 CORE PERFORMANCE LLC BELLINGHAM PHYSICAL THERAPIST IN PRIVATE PRACTICE 15 140 $8,820 $63 0.0% (360) 752-2673
77 FITLIFE FITNESS AND AQUATICS, INCORPORATED PHILADELPHIA PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 116 $6,355 $55 0.0% (215) 753-8910
78 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL ORTHOPEDIC SURGERY 216 95 $10,615 $112 0.0% (610) 353-0800
79 MOTIVE SPORTS AND PHYSICAL THERAPY, PLLC CHADDS FORD PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 87 $9,135 $105 0.0% (610) 991-0493
80 CITRUS VALLEY PHYSICAL THERAPY INC REDLANDS PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 73 $7,665 $105 0.0% (909) 435-5729
81 PT WORKS DE, LLC MILFORD PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 49 $3,830 $78 0.0% (302) 422-2518
82 KENT PHYSICAL THERAPY, LLC DOVER PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 44 $3,960 $90 0.0% (302) 401-7778
83 ATRIUM HEALTH SPECIALTY NETWORK INC CHARLOTTE PHYSICAL THERAPIST IN PRIVATE PRACTICE 228 39 $4,095 $105 0.0% (704) 468-8874

*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 →