Cost analysis for CPT 97162 — Evaluation for physical therapy, typically 30 minutes
Average Medicare Payment
$74.10
2023 data
Total Payments (2023)
$97.2M
Services (2023)
1.3M
Price Change (2017–2023)
+23.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2017 | $60.04 | $69.6M | 1.2M | — |
| 2018 | $62.59 | $74.3M | 1.2M | +4.2% |
| 2019 | $63.34 | $79.1M | 1.2M | +1.2% |
| 2020 | $63.79 | $58.6M | 916.3K | +0.7% |
| 2021 | $76.21 | $86.8M | 1.1M | +19.5% |
| 2022 | $74.45 | $91.1M | 1.2M | -2.3% |
| 2023 | $74.10 | $97.2M | 1.3M | -0.5% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $92.98 vs VI at $65.25.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $92.98 | $265.7K | 2.9K | 116 |
| DC | $82.46 | $177.2K | 2.1K | 67 |
| NY | $81.28 | $8.1M | 99.9K | 2.5K |
| NJ | $81.17 | $5.3M | 65.8K | 2.0K |
| CA | $79.43 | $12.3M | 155.2K | 3.4K |
| CT | $79.28 | $920.7K | 11.6K | 371 |
| MD | $78.61 | $3.3M | 42.3K | 1.1K |
| MA | $78.54 | $2.3M | 29.6K | 776 |
| GU | $77.82 | $15.2K | 195 | 5 |
| RI | $77.15 | $335.8K | 4.4K | 139 |
| DE | $75.40 | $729.5K | 9.7K | 233 |
| PR | $75.37 | $68.4K | 907 | 30 |
| IL | $75.19 | $4.2M | 55.7K | 1.7K |
| HI | $75.07 | $416.3K | 5.5K | 172 |
| VA | $75.04 | $3.2M | 42.5K | 1.1K |
| NH | $74.61 | $503.3K | 6.7K | 218 |
| CO | $74.25 | $1.9M | 25.8K | 858 |
| WA | $73.86 | $2.6M | 35.3K | 1.1K |
| PA | $73.63 | $3.6M | 48.4K | 1.4K |
| NV | $73.27 | $867.8K | 11.8K | 301 |
| FL | $73.01 | $6.2M | 84.6K | 1.7K |
| MN | $72.74 | $1.1M | 14.9K | 511 |
| SD | $72.47 | $302.3K | 4.2K | 134 |
| MI | $72.46 | $2.1M | 29.2K | 1.0K |
| TX | $72.26 | $4.2M | 58.3K | 1.6K |
| WY | $72.14 | $513.7K | 7.1K | 191 |
| MT | $72.09 | $515.1K | 7.1K | 252 |
| ND | $71.96 | $124.1K | 1.7K | 59 |
| ME | $71.47 | $365.0K | 5.1K | 203 |
| AZ | $71.11 | $2.4M | 34.4K | 874 |
| SC | $70.87 | $1.8M | 25.4K | 659 |
| OR | $70.67 | $1.4M | 20.4K | 601 |
| NC | $70.55 | $2.5M | 35.7K | 1.0K |
| IN | $70.46 | $1.6M | 23.4K | 647 |
| UT | $70.39 | $722.5K | 10.3K | 254 |
| WI | $70.06 | $1.5M | 21.1K | 791 |
| OH | $70.02 | $1.8M | 25.1K | 708 |
| VT | $69.66 | $213.0K | 3.1K | 101 |
| NM | $69.53 | $618.4K | 8.9K | 189 |
| IA | $69.50 | $1.3M | 18.6K | 553 |
| LA | $69.42 | $1.0M | 15.1K | 392 |
| MO | $69.36 | $1.2M | 17.8K | 532 |
| NE | $68.94 | $764.4K | 11.1K | 297 |
| GA | $68.84 | $2.6M | 37.6K | 1.0K |
| KY | $68.70 | $1.2M | 16.9K | 492 |
| AR | $68.61 | $655.5K | 9.6K | 255 |
| AL | $68.47 | $1.2M | 17.2K | 449 |
| OK | $68.33 | $1.0M | 15.0K | 380 |
| ID | $68.33 | $662.5K | 9.7K | 315 |
| WV | $68.10 | $406.1K | 6.0K | 171 |
| KS | $67.88 | $997.8K | 14.7K | 403 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Spencer Clark | Physical Therapist in Private Practice | UT | $56.6K | 763 | $74.17 |
| Ahson Mahfooz | Physical Therapist in Private Practice | NY | $54.4K | 600 | $90.74 |
| Terri Bechtel Greenberg | Physical Therapist in Private Practice | CA | $49.7K | 646 | $77.01 |
| Darrel Elwell | Physical Therapist in Private Practice | NM | $47.6K | 649 | $73.35 |
| Stephanie Savino | Physical Therapist in Private Practice | FL | $39.5K | 525 | $75.24 |
| Tami Peavy | Physical Therapist in Private Practice | CA | $37.5K | 514 | $73.02 |
| Khalid Attia | Physical Therapist in Private Practice | NY | $37.2K | 417 | $89.10 |
| Mohamed Afify | Physical Therapist in Private Practice | NY | $36.3K | 405 | $89.57 |
| Nicholas Maly | Physical Therapist in Private Practice | CA | $35.7K | 435 | $82.18 |
| Brinda Makadia | Physical Therapist in Private Practice | NY | $34.9K | 399 | $87.35 |
| Tan Ngo | Internal Medicine | CA | $32.8K | 397 | $82.73 |
| Mary Jean Endozo | Physical Therapist in Private Practice | NJ | $31.5K | 352 | $89.56 |
| Ehab Boulos | Physical Therapist in Private Practice | FL | $30.1K | 414 | $72.81 |
| Fernando Orlino | Physical Therapist in Private Practice | CA | $30.0K | 414 | $72.49 |
| Marc Garber | Physical Therapist in Private Practice | CA | $29.6K | 369 | $80.28 |
| Wilfried Kramer | Physical Therapist in Private Practice | CA | $28.7K | 344 | $83.52 |
| Zachary Michael | Physical Therapist in Private Practice | TX | $27.3K | 373 | $73.31 |
| Britton Moss | Physical Therapist in Private Practice | LA | $27.3K | 368 | $74.29 |
| Louis Moscardi | Physical Therapist in Private Practice | CA | $27.1K | 337 | $80.27 |
| Thomas Deguzman | Physical Therapist in Private Practice | CA | $26.6K | 331 | $80.39 |
Based on the data, CPT 97162 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 23.4% since 2017. 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.