Cost analysis for CPT 97150 — Therapy procedure in a group setting
Average Medicare Payment
$10.73
2023 data
Total Payments (2023)
$24.2M
Services (2023)
2.2M
Price Change (2014–2023)
-3.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $11.15 | $9.3M | 833.3K | — |
| 2015 | $11.13 | $9.9M | 886.2K | -0.2% |
| 2016 | $11.07 | $11.4M | 1.0M | -0.5% |
| 2017 | $11.09 | $12.5M | 1.1M | +0.2% |
| 2018 | $11.56 | $13.9M | 1.2M | +4.2% |
| 2019 | $11.59 | $16.2M | 1.4M | +0.3% |
| 2020 | $11.57 | $11.3M | 964.1K | -0.2% |
| 2021 | $11.53 | $17.3M | 1.5M | -0.3% |
| 2022 | $10.97 | $19.2M | 1.7M | -4.9% |
| 2023 | $10.73 | $24.2M | 2.2M | -2.2% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $14.46 vs AR at $9.88.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $14.46 | $60.3K | 4.2K | 23 |
| WY | $12.26 | $28.5K | 2.3K | 7 |
| NY | $11.91 | $1.6M | 136.8K | 426 |
| NJ | $11.53 | $2.6M | 225.6K | 626 |
| DC | $11.43 | $74.7K | 6.5K | 26 |
| CT | $11.11 | $205.7K | 18.5K | 88 |
| CA | $11.08 | $2.1M | 191.8K | 707 |
| MD | $11.04 | $1.4M | 127.3K | 368 |
| PA | $10.89 | $3.3M | 299.1K | 931 |
| VA | $10.88 | $1.2M | 109.0K | 391 |
| NH | $10.80 | $53.9K | 5.0K | 24 |
| IL | $10.73 | $258.1K | 24.1K | 123 |
| NE | $10.73 | $6.8K | 637 | 6 |
| CO | $10.72 | $205.6K | 19.2K | 127 |
| DE | $10.70 | $457.7K | 42.8K | 123 |
| MA | $10.68 | $612.5K | 57.3K | 205 |
| WI | $10.64 | $45.5K | 4.3K | 24 |
| SD | $10.63 | $29.7K | 2.8K | 4 |
| HI | $10.62 | $8.4K | 792 | 9 |
| WV | $10.61 | $50.9K | 4.8K | 46 |
| ME | $10.56 | $137.2K | 13.0K | 69 |
| WA | $10.56 | $120.4K | 11.4K | 83 |
| VI | $10.52 | $3.3K | 310 | 2 |
| GA | $10.51 | $675.8K | 64.3K | 465 |
| FL | $10.50 | $911.8K | 86.8K | 247 |
| AZ | $10.49 | $1.2M | 112.6K | 395 |
| RI | $10.47 | $11.9K | 1.1K | 10 |
| MO | $10.45 | $158.1K | 15.1K | 109 |
| MI | $10.44 | $131.4K | 12.6K | 97 |
| NV | $10.41 | $364.2K | 35.0K | 128 |
| NM | $10.38 | $16.1K | 1.6K | 9 |
| LA | $10.35 | $150.2K | 14.5K | 80 |
| MN | $10.34 | $5.5K | 531 | 6 |
| NC | $10.32 | $428.9K | 41.6K | 221 |
| UT | $10.31 | $22.0K | 2.1K | 17 |
| TX | $10.28 | $2.0M | 194.2K | 770 |
| KS | $10.28 | $59.6K | 5.8K | 52 |
| IN | $10.22 | $141.0K | 13.8K | 71 |
| OR | $10.21 | $49.3K | 4.8K | 23 |
| KY | $10.19 | $462.7K | 45.4K | 223 |
| ID | $10.18 | $69.8K | 6.9K | 37 |
| SC | $10.15 | $558.8K | 55.0K | 220 |
| TN | $10.15 | $755.5K | 74.4K | 477 |
| OH | $10.06 | $442.2K | 44.0K | 329 |
| AL | $10.01 | $235.0K | 23.5K | 144 |
| OK | $9.96 | $387.8K | 38.9K | 111 |
| MS | $9.94 | $244.3K | 24.6K | 115 |
| IA | $9.90 | $97.6K | 9.9K | 40 |
| AR | $9.88 | $58.7K | 5.9K | 49 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Donald Liss | Physical Medicine and Rehabilitation | NJ | $41.1K | 3.8K | $10.95 |
| Michele Dyogi | Physical Therapist in Private Practice | TX | $39.8K | 4.3K | $9.33 |
| Andrea Pallais | Physical Therapist in Private Practice | TX | $36.8K | 3.9K | $9.47 |
| Jeffrey Borcik | Physical Therapist in Private Practice | TX | $36.4K | 3.5K | $10.27 |
| John Calle | Physical Therapist in Private Practice | PA | $33.4K | 3.1K | $10.67 |
| Christopher Brown | Physical Therapist in Private Practice | TX | $31.6K | 3.4K | $9.20 |
| Chi Tso | Physical Therapist in Private Practice | CA | $29.7K | 2.7K | $10.88 |
| Jennifer Stanton | Physical Therapist in Private Practice | NJ | $29.7K | 2.8K | $10.54 |
| Marc Razzano | Physical Therapist in Private Practice | NJ | $29.2K | 2.7K | $10.72 |
| Mark Tenholder | Orthopedic Surgery | FL | $28.0K | 2.6K | $10.61 |
| Ephraim Yablok | Physical Therapist in Private Practice | NJ | $27.2K | 2.7K | $10.25 |
| James Gutierrez | Physical Therapist in Private Practice | CA | $27.2K | 2.5K | $10.95 |
| Christine Drennan | Physical Therapist in Private Practice | NJ | $25.4K | 2.3K | $10.87 |
| Robert Dawson | Physical Therapist in Private Practice | MD | $24.7K | 2.6K | $9.32 |
| Marissa Dadura | Physical Therapist in Private Practice | VA | $24.7K | 2.4K | $10.46 |
| Vladislav Shut | Physical Therapist in Private Practice | CA | $24.6K | 2.3K | $10.87 |
| Michael Montalbano | Physical Therapist in Private Practice | NJ | $23.9K | 2.2K | $10.99 |
| Rachael Goodman | Nurse Practitioner | MO | $23.9K | 2.1K | $11.61 |
| Jessica Buus | Physical Therapist in Private Practice | CA | $23.4K | 2.0K | $11.70 |
| Stephen Hopkins | Physical Therapist in Private Practice | TX | $22.6K | 2.4K | $9.30 |
Based on the data, CPT 97150 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 3.8% 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.