Cost analysis for CPT 97113 — Therapy procedure using water pool to exercises, each 15 minutes
Average Medicare Payment
$21.81
2023 data
Total Payments (2023)
$29.6M
Services (2023)
1.4M
Price Change (2014–2023)
-17.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $26.54 | $35.7M | 1.4M | — |
| 2015 | $26.48 | $38.1M | 1.5M | -0.2% |
| 2016 | $26.33 | $40.5M | 1.6M | -0.6% |
| 2017 | $26.53 | $39.9M | 1.5M | +0.8% |
| 2018 | $24.93 | $37.6M | 1.5M | -6.0% |
| 2019 | $24.84 | $38.8M | 1.6M | -0.4% |
| 2020 | $24.71 | $24.5M | 992.3K | -0.5% |
| 2021 | $24.51 | $31.1M | 1.3M | -0.8% |
| 2022 | $22.26 | $29.9M | 1.3M | -9.2% |
| 2023 | $21.81 | $29.6M | 1.4M | -2.0% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $28.12 vs MS at $19.17.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $28.12 | $156.3K | 5.6K | 19 |
| DC | $25.16 | $36.9K | 1.5K | 3 |
| NJ | $24.72 | $832.5K | 33.7K | 40 |
| MA | $24.01 | $647.0K | 26.9K | 47 |
| NY | $23.89 | $1.5M | 61.2K | 126 |
| CA | $23.88 | $5.9M | 246.3K | 297 |
| ND | $23.13 | $24.2K | 1.0K | 4 |
| NH | $23.11 | $88.6K | 3.8K | 8 |
| MD | $22.79 | $2.0M | 89.9K | 132 |
| HI | $22.75 | $296.1K | 13.0K | 20 |
| PR | $22.60 | $40.6K | 1.8K | 3 |
| CT | $22.33 | $134.4K | 6.0K | 14 |
| VT | $21.98 | $304.3K | 13.8K | 44 |
| MT | $21.86 | $252.1K | 11.5K | 26 |
| DE | $21.76 | $364.7K | 16.8K | 34 |
| WY | $21.74 | $172.3K | 7.9K | 17 |
| ME | $21.65 | $103.5K | 4.8K | 13 |
| MN | $21.65 | $176.8K | 8.2K | 37 |
| SD | $21.65 | $121.4K | 5.6K | 13 |
| WA | $21.64 | $953.4K | 44.1K | 72 |
| RI | $21.61 | $59.9K | 2.8K | 7 |
| VA | $21.50 | $686.1K | 31.9K | 53 |
| KY | $21.43 | $141.7K | 6.6K | 17 |
| UT | $21.39 | $111.5K | 5.2K | 14 |
| PA | $21.35 | $1.1M | 49.4K | 89 |
| IN | $21.30 | $210.7K | 9.9K | 20 |
| IL | $21.29 | $408.2K | 19.2K | 45 |
| NV | $21.18 | $133.9K | 6.3K | 13 |
| WI | $20.85 | $136.3K | 6.5K | 20 |
| LA | $20.85 | $466.2K | 22.4K | 44 |
| OR | $20.82 | $191.3K | 9.2K | 33 |
| AZ | $20.82 | $761.8K | 36.6K | 70 |
| MI | $20.79 | $258.6K | 12.4K | 24 |
| CO | $20.77 | $344.8K | 16.6K | 24 |
| NC | $20.73 | $901.8K | 43.5K | 71 |
| MO | $20.66 | $174.3K | 8.4K | 24 |
| SC | $20.58 | $174.0K | 8.5K | 21 |
| GA | $20.54 | $933.5K | 45.5K | 55 |
| TX | $20.47 | $3.2M | 157.0K | 157 |
| ID | $20.37 | $265.5K | 13.0K | 23 |
| KS | $20.32 | $444.5K | 21.9K | 26 |
| OH | $20.30 | $875.8K | 43.1K | 84 |
| IA | $20.27 | $187.8K | 9.3K | 20 |
| AR | $20.25 | $71.8K | 3.5K | 6 |
| WV | $20.20 | $238.6K | 11.8K | 27 |
| FL | $19.95 | $1.4M | 68.9K | 68 |
| NE | $19.94 | $424.7K | 21.3K | 37 |
| AL | $19.84 | $182.8K | 9.2K | 18 |
| TN | $19.47 | $230.6K | 11.8K | 28 |
| NM | $19.28 | $366.6K | 19.0K | 19 |
| OK | $19.22 | $241.7K | 12.6K | 24 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Judy Lokey | Physical Therapist in Private Practice | TX | $633.0K | 31.0K | $20.39 |
| Alisa Eischen | Physical Therapist in Private Practice | CA | $422.5K | 16.9K | $24.97 |
| Pamela Muscara | Physical Therapist in Private Practice | NJ | $226.9K | 8.6K | $26.44 |
| Preethi Suresh | Physical Therapist in Private Practice | TX | $212.0K | 11.0K | $19.21 |
| Rania Sokker | Physical Therapist in Private Practice | NY | $171.2K | 6.5K | $26.39 |
| Lydia Neu | Physical Therapist in Private Practice | KS | $164.4K | 8.4K | $19.58 |
| Casey Mulligan | Physical Therapist in Private Practice | CA | $142.0K | 5.0K | $28.61 |
| Michael Stiwich | Physical Therapist in Private Practice | CO | $136.5K | 7.2K | $18.94 |
| Brenda Van Salisbury | Occupational Therapist in Private Practice | FL | $125.1K | 6.7K | $18.81 |
| Cary Caulfield | Physical Therapist in Private Practice | CA | $123.3K | 5.6K | $22.15 |
| Megan Ellis | Physical Therapist in Private Practice | TX | $119.4K | 5.4K | $22.26 |
| Zachary Michael | Physical Therapist in Private Practice | TX | $113.2K | 5.5K | $20.55 |
| Margaret Abbott | Physical Therapist in Private Practice | TX | $104.3K | 5.3K | $19.76 |
| Daniel Alfaro | Physical Therapist in Private Practice | CA | $99.7K | 4.2K | $23.49 |
| Jeff Carr | Physical Therapist in Private Practice | AZ | $98.0K | 4.7K | $20.93 |
| Sean Hayes | Physical Therapist in Private Practice | TX | $96.0K | 4.3K | $22.16 |
| Tehila Arieh | Occupational Therapist in Private Practice | NY | $95.8K | 3.7K | $26.14 |
| Gayle Reed | Physical Therapist in Private Practice | FL | $94.3K | 5.2K | $17.99 |
| Javier Leal | Physical Therapist in Private Practice | TX | $92.9K | 5.3K | $17.44 |
| Johanna Schatz | Physical Therapist in Private Practice | CA | $90.9K | 3.6K | $25.09 |
Based on the data, CPT 97113 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 17.8% since 2014. 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.