NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
97542 Evaluation for wheelchair, each 15 minutes CPT · Treatment
Classification Treatment › Physical, Occupational, and Speech Therapy › Occupational Therapy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 56,811 services ▲ 6.9% YoY · 15,575 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.0M · $18.24 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
106
Named-group FFS services
32,553
FFS of Medicare
49%
Services YoY
+6.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~63,729 services

32,553 observed fee-for-service (51%) · ~31,176 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 — 97542 (CY2024)
VA 4,687 IL 4,280 NY 4,111 TX 3,737 NJ 3,662

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

Named-group submitted charges
$2.0M
Named-group allowed amount
$784K
Named-group Medicare payments
$602K
Avg charge / svc
$62
Avg allowed / svc
$24
Avg payment / svc
$18
Average charge per group
$26 106 groups · avg submitted charge / service $215
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 97542 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EMPOWERME REHABILITATION ILLINOIS LLC EDWARDSVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 355 2,485 $138,704 $56 58.1% (618) 706-9759
2 FOX REHABILITATION SERVICES INC PLEASANTVILLE NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 1,795 $100,716 $56 49.0% (877) 407-3422
3 INTEGRATED CLINIX CEDAR HILLS IA PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 1,256 $74,195 $59 89.4% (801) 822-1880
4 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD TX OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 1,244 $101,736 $82 33.3% (725) 309-3053
5 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 1,149 $100,964 $88 31.8% (725) 309-3053
6 EMPOWERME REHABILITATION MISSOURI LLC SAINT CHARLES MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 223 1,085 $56,924 $52 37.1% (636) 242-1764
7 WHEELCHAIR CLINIC INC AMARILLO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 47 825 $41,538 $50 22.1% (833) 233-7875
8 ON A ROLL PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 819 $44,825 $55 19.9% (646) 653-6266
9 COMPREHENSIVE THERAPEUTICS LTD STATESVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 787 $46,433 $59 18.4% (704) 994-5065
10 ODOM SPORTS MEDICINE PA EDEN PRAIRIE MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 70 722 $43,320 $60 46.8% (952) 224-1919
11 WHEELCHAIR CLINIC INC AMARILLO VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 47 699 $34,966 $50 14.9% (833) 233-7875
12 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 641 $77,561 $121 17.7% (916) 734-7777
13 INSPIRATION THERAPY PLLC CYPRESS CT QUALIFIED SPEECH LANGUAGE PATHOLOGIST 11 550 $27,500 $50 61.6% (281) 853-9881
14 AFFINITY REHABILITATION LLP MOUNT VERNON NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 112 545 $32,155 $59 13.3% (914) 266-3796
15 FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC VIRGINIA BEACH VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 190 508 $24,932 $49 10.8% (888) 531-2204
16 PARAGON OUTPATIENT REHABILITATION SERVICES LLC WINSTON SALEM NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 488 $16,587 $34 23.7% (336) 397-4200
17 THE CENTER FOR DISCOVERY INC MONTICELLO NY NURSE PRACTITIONER 22 477 $102,569 $215 11.6% (845) 707-8400
18 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 459 $27,081 $59 50.1% (865) 270-3178
19 FOX REHABILITATION SERVICES LLC CHANTILLY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 298 443 $22,382 $51 9.5% (703) 810-3992
20 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 438 $25,842 $59 16.6% (865) 270-3178
21 FOX REHABILITATION SERVICES INC PLEASANTVILLE PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 360 $20,286 $56 31.9% (877) 407-3422
22 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD OK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 354 $31,476 $89 59.5% (725) 309-3053
23 PARAGON OUTPATIENT REHABILITATION SERVICES LLC WINSTON SALEM NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 340 $11,557 $34 9.3% (336) 397-4200
24 POWER PLUS REHAB, INC. DEERFIELD BEACH FL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 331 $29,880 $90 12.5% (954) 829-8881
25 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 330 $50,704 $154 26.3% (720) 777-1234
26 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 327 $25,830 $79 11.2% (314) 747-3000
27 SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC NEW YORK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 524 323 $12,290 $38 7.9% (212) 529-5966
28 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 305 $17,995 $59 8.3% (865) 270-3178
29 EMPOWERME REHABILITATION LLC DALLAS PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 304 $15,475 $51 26.9% (469) 489-1536
30 CHRISTY MALONZO PHYSICAL THERAPIST INC AND MANJIRI DAHDUL PHYSICAL THE LONG BEACH CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 11 298 $16,210 $54 8.2% (562) 988-3570
31 HORIZONS THERAPY GROUP, INC. CEDARTOWN GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 295 $14,750 $50 14.4% (678) 472-4042
32 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 276 $16,284 $59 6.7% (865) 270-3178
33 COVELL CARE AND REHABILITATION LLC WINDSOR CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 57 262 $10,480 $40 20.9% (970) 204-4331
34 FOX REHAB OT CT LLC SOUTHBURY CT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 60 255 $14,369 $56 28.6% (877) 407-3422
35 FOX REHABILITATION SERVICES INC PLEASANTVILLE NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 1227 254 $14,313 $56 6.2% (877) 407-3422
36 BRIDGEWAY CARE AT HOME LLC BRIDGEWATER NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 40 253 $8,915 $35 6.9% (908) 722-7022
37 KEY REHABILITATION INC GLADSTONE KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 49 251 $7,499 $30 37.1% (816) 249-1650
38 PROSPERA REHABILITATION LLC HOUSTON NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 250 $8,008 $32 6.8% (832) 920-2025
39 SOBE INNOVATIVE REHABILITATION PLLC MIAMI FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 247 $13,091 $53 9.3% (786) 770-9480
40 SYNERGY CARE SOUTHEAST LLC DALLAS OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 158 241 $16,566 $69 40.5% (214) 307-1288
41 COMPREHENSIVE THERAPEUTICS LTD STATESVILLE VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 236 $13,924 $59 5.0% (704) 994-5065
42 STATE OF TENNESSEE NASHVILLE TN PSYCHIATRY 21 228 $17,100 $75 24.9% (615) 902-7400
43 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON DC PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 216 $12,744 $59 86.4% (865) 270-3178
44 POWERBACK REHABILITATION LLC CLINTON TWP WV FAMILY PRACTICE 591 216 $10,101 $47 87.8% (342) 627-3267
45 WHEELCHAIR CLINIC INC AMARILLO CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 47 212 $10,600 $50 5.9% (833) 233-7875
46 EASTERSEALS MORC HEALTH CARE, INC SOUTHFIELD MI CLINICAL SOCIAL WORKER 127 210 $9,450 $45 21.0% (248) 372-6800
47 EMPOWERME REHABILITATION LLC DALLAS VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 426 210 $10,490 $50 4.5% (469) 489-1536
48 EMPOWERME REHABILITATION FLORIDA, LLC STUART FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 161 205 $10,257 $50 7.8% (877) 367-9772
49 FOX REHABILITATION SERVICES OT MO LLC WASHINGTON MO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 17 201 $11,326 $56 6.9% (877) 407-3422
50 FOX REHABILITATION SERVICES MN LLC MINNETONKA MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 196 $11,045 $56 12.7% (877) 407-3422
51 UNITED CEREBRAL PALSY ASSOCIATION OF NASSAU COUNTY INC ROOSEVELT NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 11 188 $10,387 $55 4.6% (516) 375-2000
52 SCHMIDT SPEECH LANGUAGE PATHOLOGY SERVICES, LLC LINCOLN NE QUALIFIED SPEECH LANGUAGE PATHOLOGIST 6 180 $8,185 $45 51.9% (402) 942-1329
53 FOX REHABILITATION SERVICES PT MO LLC WASHINGTON MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 28 169 $9,523 $56 5.8% (877) 407-3422
54 GENUICARE INC HOT SPRINGS AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 163 $8,483 $52 100.0% (501) 463-9057
55 OUTREACH PHYSICAL AND OCCUPATIONAL THERAPY AND SPEECH REHABILITATION, NEW YORK NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 15 158 $9,322 $59 4.3% —
56 FOX REHAB OT MD LLC BALTIMORE PA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 62 157 $8,847 $56 13.9% (877) 407-3422
57 WHEELCHAIR CLINIC INC AMARILLO UT PHYSICAL THERAPIST IN PRIVATE PRACTICE 47 153 $7,650 $50 4.5% (833) 233-7875
58 EMPOWERME REHABILITATION WA PC ISSAQUAH WA PHYSICAL THERAPIST IN PRIVATE PRACTICE 51 152 $7,100 $47 12.9% (425) 225-7282
59 ASPIRE OF WESTERN NEW YORK INC CHEEKTOWAGA NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 26 142 $4,821 $34 3.5% (716) 505-5655
60 EMPOWERME REHABILITATION ILLINOIS LLC EDWARDSVILLE IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 355 134 $6,744 $50 15.3% (618) 706-9759
61 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 133 $7,847 $59 3.6% (865) 270-3178
62 TIER 1 THERAPY LLC WALLA WALLA WA PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 133 $5,586 $42 11.3% (509) 987-4316
63 THRESHOLD THERAPEUTIC, LLC MATTHEWS NC OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 132 $6,600 $50 6.4% (980) 288-5331
64 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 130 $7,326 $56 3.5% (877) 407-3422
65 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 129 $7,611 $59 12.9% (865) 270-3178
66 TRANSPERFECT HEALTH CORP ATLANTA GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 24 126 $4,886 $39 6.1% (570) 854-1632
67 FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC LEXINGTON GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 300 125 $7,044 $56 6.1% (877) 407-3422
68 INCLUSIVE REHABILITATION LLC CANTON GA PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 125 $6,250 $50 6.1% (703) 400-5518
69 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 123 $7,257 $59 50.2% (865) 270-3178
70 EMPOWERME WELLNESS KANSAS CITY LLC KANSAS CITY NE PHYSICAL THERAPIST IN PRIVATE PRACTICE 147 117 $5,844 $50 33.7% (816) 631-0847
71 FOX REHAB OT IA LLC NORWALK IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 55 117 $6,593 $56 8.3% (877) 407-3422
72 NYSARC INC. ONEIDA NY CLINICAL PSYCHOLOGIST 15 114 $6,725 $59 2.8% (315) 363-9281
73 FOX REHAB PT MD LLC BALTIMORE MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 88 112 $6,311 $56 21.8% (877) 407-3422
74 AEGIS GROUP PRACTICE LLC MEMPHIS KY PHYSICAL THERAPIST IN PRIVATE PRACTICE 396 112 $6,031 $54 26.0% (901) 883-0223
75 SYNERGY CARE SOUTHEAST LLC DALLAS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 158 110 $7,561 $69 2.9% (214) 307-1288
76 YONDER HEALTH CORPORATION MORRIS PLAINS NJ OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 6 107 $4,330 $40 2.9% (973) 970-8145
77 THE WESTON GROUP INC CHARLOTTE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 236 101 $6,471 $64 3.8% (980) 245-2676
78 EMPOWERME REHABILITATION MISSOURI LLC SAINT CHARLES KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 223 90 $4,496 $50 13.3% (636) 242-1764
79 VINCENT ALARCON PHYSICAL THERAPIST PC VISALIA CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 89 $7,420 $83 2.5% (559) 713-6461
80 PEDIATRIC PHYSICAL THERAPY INC CONCORD NH PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 87 $3,233 $37 35.4% (603) 224-4540
81 PARAGON OUTPATIENT REHABILITATION SERVICES LLC WINSTON SALEM MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 195 85 $2,889 $34 2.9% (336) 397-4200
82 NORTHEAST MICHIGAN COMMUNITY MENTAL HEALTH AUTHORITY ALPENA MI CLINICAL SOCIAL WORKER 14 84 $2,205 $26 8.4% (989) 356-2161
83 STERLING PHYSICAL THERAPY AND ASSOCIATES PSC MT STERLING KY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 82 $4,764 $58 19.1% (859) 498-0011
84 PEACEHEALTH LONGVIEW WA FAMILY PRACTICE 187 82 $8,328 $102 7.0% (360) 414-2800
85 OUTPATIENT REHABILITATION CENTER OF FULTON INC FULTON MS OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 2 82 $4,100 $50 20.8% (662) 862-3070
86 HEALTHPRO HERITAGE REHAB AND FITNESS LLC CLINTON MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 994 79 $4,661 $59 20.1% (865) 270-3178
87 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 77 $7,163 $93 1.8% —
88 THE SIGURD CENTER FOR ORTHO AND NEURO REHAB WEST COLUMBIA SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 12 77 $3,850 $50 48.1% (803) 926-7204
89 NYSARC INC SULLIVAN COUNTY CHAPTER MONTICELLO NY CLINICAL SOCIAL WORKER 20 76 $4,577 $60 1.8% (845) 796-1350
90 FOX REHABILITATION SERVICES WI LLC WEST BEND MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 136 76 $4,283 $56 7.6% (262) 338-0092
91 FOX REHAB AGENCY MS LLC STARKVILLE MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 66 75 $4,226 $56 19.0% (877) 407-3422
92 EMPOWERME REHABILITATION COLORADO, LLC DENVER CO OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 98 75 $3,746 $50 6.0% (314) 673-6747
93 GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES ALEXANDRIA OR PHYSICAL THERAPIST IN PRIVATE PRACTICE 14 74 $4,440 $60 50.7% (703) 578-7195
94 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER MO ORTHOPEDIC SURGERY 2158 73 $3,650 $50 2.5% (907) 694-8085
95 BLOOMFIELD PHYSICAL THERAPY TECUMSEH CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 10 73 $7,090 $97 2.0% (785) 313-0803
96 LEGACY HEALTHCARE SERVICES INC DURHAM VA INTERNAL MEDICINE 3859 73 $2,857 $39 1.6% (919) 419-9600
97 OHSU OUTPATIENT CLINICAL SERVICES LLC BEAVERTON OR PHYSICAL THERAPIST IN PRIVATE PRACTICE 21 72 $6,120 $85 49.3% (503) 494-3151
98 ODOM SPORTS MEDICINE PA EDEN PRAIRIE WI PHYSICAL THERAPIST IN PRIVATE PRACTICE 70 72 $4,320 $60 8.2% (952) 224-1919
99 THE TEMPLE FOUNDATION INC FAIRFAX VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 20 70 $2,180 $31 1.5% (703) 844-8599
100 ESD PT OT AND SLP PLLC BROOKLYN NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 87 68 $3,740 $55 1.7% (718) 473-3808

Showing the top 100 of 106 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 →