Cost analysis for CPT 97116 — Therapy procedure for walking training, each 15 minutes
Average Medicare Payment
$17.46
2023 data
Total Payments (2023)
$70.3M
Services (2023)
4.0M
Price Change (2014–2023)
+1.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $17.25 | $24.9M | 1.4M | — |
| 2015 | $17.20 | $26.9M | 1.5M | -0.3% |
| 2016 | $17.07 | $28.5M | 1.6M | -0.8% |
| 2017 | $17.06 | $29.8M | 1.7M | -0.1% |
| 2018 | $18.87 | $36.3M | 1.9M | +10.6% |
| 2019 | $18.96 | $43.1M | 2.2M | +0.5% |
| 2020 | $19.15 | $43.1M | 2.2M | +1.0% |
| 2021 | $19.02 | $57.1M | 3.0M | -0.7% |
| 2022 | $18.04 | $63.5M | 3.5M | -5.2% |
| 2023 | $17.46 | $70.3M | 4.0M | -3.2% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $22.73 vs WV at $15.21.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $22.73 | $75.8K | 3.3K | 35 |
| DC | $19.41 | $150.7K | 7.8K | 22 |
| NY | $19.26 | $12.7M | 661.5K | 1.6K |
| NJ | $18.76 | $8.5M | 455.3K | 951 |
| CT | $18.37 | $892.9K | 48.6K | 141 |
| MD | $18.35 | $2.4M | 130.3K | 431 |
| MA | $18.25 | $1.5M | 83.2K | 266 |
| CA | $18.18 | $5.1M | 282.3K | 981 |
| GU | $18.10 | $1.9K | 106 | 1 |
| VI | $17.85 | $10.8K | 603 | 4 |
| VA | $17.85 | $1.8M | 98.6K | 347 |
| XX | $17.83 | $9.3K | 519 | 1 |
| AE | $17.75 | $3.2K | 179 | 2 |
| HI | $17.63 | $161.1K | 9.1K | 29 |
| WA | $17.60 | $712.0K | 40.5K | 176 |
| PA | $17.57 | $3.7M | 211.4K | 511 |
| DE | $17.55 | $649.2K | 37.0K | 110 |
| RI | $17.41 | $138.6K | 8.0K | 32 |
| MI | $17.25 | $945.4K | 54.8K | 207 |
| ME | $17.24 | $235.9K | 13.7K | 42 |
| NH | $17.20 | $238.6K | 13.9K | 52 |
| MN | $17.17 | $304.3K | 17.7K | 141 |
| OR | $17.11 | $232.8K | 13.6K | 67 |
| CO | $17.01 | $788.0K | 46.3K | 207 |
| MT | $17.00 | $135.4K | 8.0K | 39 |
| ND | $16.97 | $103.0K | 6.1K | 29 |
| UT | $16.93 | $404.9K | 23.9K | 72 |
| NV | $16.86 | $535.3K | 31.7K | 70 |
| SD | $16.75 | $223.8K | 13.4K | 60 |
| TX | $16.70 | $1.9M | 115.8K | 412 |
| AZ | $16.69 | $1.1M | 65.2K | 266 |
| VT | $16.68 | $47.6K | 2.9K | 13 |
| WY | $16.65 | $224.5K | 13.5K | 69 |
| IL | $16.62 | $3.3M | 195.6K | 442 |
| GA | $16.59 | $1.8M | 108.4K | 327 |
| ID | $16.57 | $202.7K | 12.2K | 37 |
| SC | $16.55 | $1.5M | 91.4K | 243 |
| FL | $16.50 | $6.3M | 381.2K | 846 |
| PR | $16.49 | $13.2K | 803 | 4 |
| WI | $16.48 | $637.8K | 38.7K | 167 |
| IN | $16.33 | $1.3M | 78.2K | 258 |
| OH | $16.29 | $1.4M | 84.5K | 229 |
| NC | $16.27 | $1.2M | 72.8K | 280 |
| LA | $16.27 | $472.3K | 29.0K | 134 |
| IA | $16.21 | $405.8K | 25.0K | 105 |
| TN | $16.12 | $1.2M | 72.3K | 237 |
| OK | $16.08 | $297.4K | 18.5K | 73 |
| NE | $16.08 | $284.2K | 17.7K | 65 |
| KS | $16.08 | $514.8K | 32.0K | 104 |
| MS | $16.05 | $505.5K | 31.5K | 106 |
| AL | $15.98 | $486.7K | 30.5K | 194 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mohammed Khan | Physical Therapist in Private Practice | MI | $152.2K | 8.6K | $17.78 |
| Emmanouil Vasilakis | Physical Therapist in Private Practice | NY | $139.8K | 7.1K | $19.65 |
| Amy Simonetta | Physical Therapist in Private Practice | FL | $138.9K | 8.8K | $15.72 |
| Jennifer Paulley | Physical Therapist in Private Practice | FL | $125.4K | 8.3K | $15.15 |
| Elizabeth Owens | Physical Therapist in Private Practice | OH | $123.3K | 8.0K | $15.45 |
| Rodney Velazquez | Physical Therapist in Private Practice | FL | $110.6K | 7.4K | $15.04 |
| James Adisano | Physical Therapist in Private Practice | FL | $106.5K | 7.1K | $15.03 |
| Gayle Reed | Physical Therapist in Private Practice | FL | $93.1K | 6.1K | $15.28 |
| Thomas Lange | Physical Therapist in Private Practice | FL | $86.2K | 5.6K | $15.46 |
| Patricia Cassell | Physical Therapist in Private Practice | NC | $79.5K | 5.3K | $15.02 |
| Cassandra Hill | Physical Therapist in Private Practice | MD | $74.3K | 4.2K | $17.91 |
| Rama Bowen | Physical Therapist in Private Practice | CA | $71.4K | 4.4K | $16.32 |
| Avril Prabakaran | Physical Therapist in Private Practice | MO | $69.8K | 4.6K | $15.11 |
| Rochel Fishman | Physical Therapist in Private Practice | NY | $69.5K | 3.6K | $19.37 |
| Madeline Weyland | Physical Therapist in Private Practice | IL | $68.9K | 4.5K | $15.32 |
| Mitchell Trestman | Physical Therapist in Private Practice | NY | $68.7K | 3.6K | $18.95 |
| Amanda Sikora | Physical Therapist in Private Practice | IL | $68.5K | 3.9K | $17.55 |
| Peter Scordo | Physical Therapist in Private Practice | NJ | $67.4K | 3.7K | $18.24 |
| Juan Nunez | Physical Therapist in Private Practice | FL | $66.5K | 4.1K | $16.19 |
| Karissa Ly | Physical Therapist in Private Practice | CA | $66.1K | 4.0K | $16.38 |
Based on the data, CPT 97116 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 1.2% 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.