Cost analysis for CPT 97112 — Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $28.01 vs AL at $19.35.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $28.01 | $1.7M | 59.9K | 199 |
| MP | $25.98 | $5.6K | 214 | 1 |
| AP | $24.67 | $8.0K | 323 | 3 |
| NY | $24.41 | $72.5M | 3.0M | 5.1K |
| NJ | $23.72 | $47.6M | 2.0M | 3.5K |
| DC | $23.66 | $1.3M | 56.1K | 158 |
| CT | $23.36 | $7.2M | 307.1K | 791 |
| MA | $23.08 | $15.3M | 663.4K | 1.6K |
| CA | $23.06 | $65.4M | 2.8M | 5.2K |
| HI | $22.78 | $1.7M | 72.9K | 231 |
| MD | $22.56 | $22.0M | 974.2K | 1.9K |
| AA | $22.45 | $7.1K | 318 | 1 |
| VI | $22.04 | $75.0K | 3.4K | 13 |
| NH | $22.02 | $3.0M | 134.3K | 340 |
| RI | $21.79 | $2.6M | 118.2K | 351 |
| XX | $21.67 | $39.5K | 1.8K | 2 |
| PA | $21.59 | $30.1M | 1.4M | 2.5K |
| CO | $21.57 | $12.5M | 577.4K | 1.6K |
| ND | $21.53 | $1.0M | 48.5K | 154 |
| WY | $21.49 | $3.0M | 138.5K | 282 |
| SD | $21.37 | $1.5M | 68.6K | 209 |
| MN | $21.36 | $4.7M | 219.5K | 1.0K |
| VA | $21.34 | $21.8M | 1.0M | 1.9K |
| WA | $21.24 | $12.6M | 594.2K | 2.0K |
| IL | $21.20 | $32.2M | 1.5M | 3.4K |
| PR | $21.18 | $61.9K | 2.9K | 19 |
| VT | $21.16 | $1.2M | 57.0K | 177 |
| NV | $21.16 | $4.9M | 233.1K | 478 |
| DE | $21.07 | $5.5M | 260.7K | 445 |
| ME | $21.06 | $2.3M | 107.0K | 350 |
| MT | $21.03 | $3.1M | 145.7K | 381 |
| UT | $20.93 | $4.1M | 195.3K | 401 |
| AE | $20.75 | $19.8K | 953 | 6 |
| FL | $20.74 | $35.4M | 1.7M | 2.7K |
| TX | $20.71 | $31.4M | 1.5M | 2.9K |
| WI | $20.59 | $6.5M | 314.6K | 1.1K |
| MI | $20.57 | $18.5M | 899.0K | 2.1K |
| OR | $20.45 | $4.2M | 203.0K | 743 |
| NC | $20.38 | $13.8M | 676.8K | 1.8K |
| AZ | $20.35 | $17.4M | 853.2K | 1.7K |
| IA | $20.27 | $5.8M | 287.6K | 828 |
| LA | $20.27 | $7.1M | 352.0K | 662 |
| GA | $20.22 | $16.4M | 809.2K | 1.8K |
| NE | $20.20 | $5.0M | 245.4K | 522 |
| OH | $20.19 | $12.4M | 615.6K | 1.4K |
| ID | $20.06 | $3.9M | 193.3K | 441 |
| SC | $19.94 | $7.2M | 360.0K | 874 |
| KS | $19.94 | $4.8M | 242.7K | 595 |
| NM | $19.89 | $2.6M | 133.2K | 288 |
| AR | $19.85 | $3.2M | 163.6K | 397 |
| IN | $19.83 | $9.1M | 457.2K | 1.1K |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Alissa Kehs | Physical Therapist in Private Practice | FL | $349.3K | 18.9K | $18.46 |
| George Siegel | Occupational Therapist in Private Practice | CA | $291.8K | 15.8K | $18.47 |
| Shelly Kraetz | Physical Therapist in Private Practice | NY | $267.9K | 12.5K | $21.42 |
| Maria Theresa Baylon | Physical Therapist in Private Practice | CA | $264.7K | 14.4K | $18.41 |
| Mohammed Khan | Physical Therapist in Private Practice | MI | $252.2K | 11.1K | $22.67 |
| Frank Cawley | Physical Therapist in Private Practice | PA | $226.0K | 11.0K | $20.47 |
| Patricia Freire | Physical Therapist in Private Practice | FL | $225.1K | 12.8K | $17.56 |
| Diane Hodges Popps | Physical Therapist in Private Practice | TX | $206.9K | 10.5K | $19.75 |
| Ahson Mahfooz | Physical Therapist in Private Practice | NY | $205.1K | 10.0K | $20.61 |
| Utkarsh Patel | Physical Therapist in Private Practice | FL | $201.8K | 11.4K | $17.67 |
| John Mckenzie | Physical Therapist in Private Practice | TX | $200.8K | 9.9K | $20.23 |
| Zachary Michael | Physical Therapist in Private Practice | TX | $192.1K | 9.7K | $19.79 |
| Timothy Tsang | Physical Therapist in Private Practice | NY | $190.7K | 8.9K | $21.50 |
| Kevin Mannix | Physical Therapist in Private Practice | TX | $187.5K | 9.5K | $19.69 |
| Katelyn Cusmiani | Physical Therapist in Private Practice | NY | $179.2K | 7.8K | $23.12 |
| Jorge Guerrero | Physical Therapist in Private Practice | TX | $178.5K | 8.7K | $20.61 |
| Rachel Saenz | Nurse Practitioner | NV | $175.8K | 8.9K | $19.81 |
| Carina Wiklund Saba | Physical Therapist in Private Practice | FL | $173.4K | 8.1K | $21.49 |
| Kevin Alves | Physical Therapist in Private Practice | NY | $169.5K | 6.7K | $25.18 |
| Margaret Dibbini | Physical Therapist in Private Practice | NY | $169.1K | 7.5K | $22.45 |
Based on the data, CPT 97112 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.