Cost analysis for CPT 97530 — Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes
Average Medicare Payment
$25.93
2023 data
Total Payments (2023)
$911.7M
Services (2023)
36.1M
Price Change (2014–2023)
+3.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $25.08 | $197.4M | 8.0M | — |
| 2015 | $25.04 | $226.0M | 9.1M | -0.2% |
| 2016 | $24.92 | $256.1M | 10.4M | -0.5% |
| 2017 | $25.14 | $297.8M | 12.0M | +0.9% |
| 2018 | $29.01 | $439.1M | 15.4M | +15.4% |
| 2019 | $28.71 | $549.2M | 19.5M | -1.0% |
| 2020 | $28.76 | $461.2M | 16.3M | +0.2% |
| 2021 | $28.57 | $648.9M | 23.1M | -0.7% |
| 2022 | $26.54 | $740.0M | 28.5M | -7.1% |
| 2023 | $25.93 | $911.7M | 36.1M | -2.3% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $30.26 vs XX at $20.65.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $30.26 | $2.7M | 88.3K | 229 |
| NY | $28.96 | $88.4M | 3.1M | 4.6K |
| DC | $28.52 | $1.9M | 67.9K | 157 |
| NJ | $28.40 | $67.7M | 2.4M | 3.6K |
| CT | $27.73 | $8.0M | 289.9K | 732 |
| MA | $27.24 | $20.0M | 733.1K | 1.6K |
| CA | $27.07 | $99.9M | 3.7M | 5.2K |
| RI | $26.89 | $4.1M | 150.7K | 371 |
| MD | $26.89 | $31.5M | 1.2M | 1.9K |
| AE | $26.62 | $38.7K | 1.5K | 6 |
| GU | $26.15 | $5.5K | 212 | 2 |
| HI | $25.91 | $2.1M | 80.3K | 225 |
| NH | $25.91 | $2.7M | 102.6K | 297 |
| AP | $25.87 | $15.2K | 587 | 4 |
| PR | $25.62 | $36.7K | 1.4K | 11 |
| PA | $25.60 | $39.2M | 1.5M | 2.5K |
| VA | $25.36 | $27.4M | 1.1M | 1.9K |
| DE | $25.34 | $9.0M | 355.7K | 462 |
| CO | $25.25 | $15.5M | 614.4K | 1.5K |
| IL | $25.16 | $47.1M | 1.9M | 3.3K |
| MN | $24.97 | $3.8M | 152.8K | 821 |
| WA | $24.92 | $26.9M | 1.1M | 2.3K |
| SD | $24.73 | $2.2M | 87.4K | 205 |
| WY | $24.70 | $3.6M | 146.4K | 267 |
| MI | $24.63 | $21.3M | 864.8K | 2.1K |
| VI | $24.57 | $105.4K | 4.3K | 10 |
| AA | $24.51 | $8.4K | 343 | 1 |
| ME | $24.37 | $2.9M | 117.2K | 305 |
| NV | $24.30 | $7.9M | 325.6K | 523 |
| UT | $24.20 | $4.5M | 184.6K | 370 |
| ND | $24.19 | $1.5M | 63.0K | 141 |
| WI | $24.05 | $7.5M | 311.4K | 901 |
| GA | $24.05 | $24.2M | 1.0M | 1.8K |
| AZ | $24.04 | $30.2M | 1.3M | 1.8K |
| TX | $23.79 | $38.9M | 1.6M | 2.7K |
| IA | $23.78 | $8.1M | 340.7K | 843 |
| FL | $23.76 | $52.4M | 2.2M | 2.8K |
| OR | $23.74 | $11.3M | 478.0K | 1.0K |
| VT | $23.68 | $1.3M | 54.5K | 133 |
| MT | $23.63 | $5.0M | 213.2K | 398 |
| NC | $23.59 | $22.3M | 945.0K | 2.0K |
| LA | $23.49 | $7.9M | 335.9K | 657 |
| OH | $23.42 | $13.3M | 566.4K | 1.3K |
| NE | $23.23 | $8.0M | 342.3K | 586 |
| AL | $23.21 | $11.0M | 474.7K | 1.1K |
| ID | $23.17 | $5.1M | 219.8K | 443 |
| KS | $23.17 | $9.1M | 393.3K | 652 |
| MO | $23.15 | $13.6M | 585.9K | 986 |
| TN | $23.07 | $19.2M | 833.2K | 1.6K |
| SC | $22.92 | $25.0M | 1.1M | 1.2K |
| OK | $22.91 | $8.7M | 379.3K | 533 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Patricia Freire | Physical Therapist in Private Practice | FL | $536.7K | 27.6K | $19.47 |
| Kari Reid | Occupational Therapist in Private Practice | FL | $473.0K | 23.9K | $19.78 |
| Scott Chirichetti | Physical Medicine and Rehabilitation | VA | $427.7K | 18.7K | $22.90 |
| Imara Paramo | Occupational Therapist in Private Practice | FL | $419.2K | 19.2K | $21.79 |
| Pedro Machin | Occupational Therapist in Private Practice | FL | $413.0K | 18.2K | $22.75 |
| Lissa Trevino | Physical Therapist in Private Practice | CA | $411.8K | 16.4K | $25.04 |
| Erik Landswick | Physical Therapist in Private Practice | CA | $366.6K | 14.0K | $26.17 |
| Terri Bechtel Greenberg | Physical Therapist in Private Practice | CA | $365.6K | 14.5K | $25.23 |
| Lance Westcott | Physical Therapist in Private Practice | CA | $361.7K | 12.6K | $28.69 |
| Christina Baker | Physical Therapist in Private Practice | IL | $337.9K | 16.0K | $21.18 |
| Maria Theresa Baylon | Physical Therapist in Private Practice | CA | $331.3K | 14.4K | $23.08 |
| Alicia Nixon | Physical Therapist in Private Practice | FL | $323.2K | 15.4K | $20.93 |
| Diane Hodges Popps | Physical Therapist in Private Practice | TX | $316.1K | 12.7K | $24.97 |
| Rick Montoya | Physical Therapist in Private Practice | CA | $306.8K | 13.0K | $23.61 |
| Adi Halili | Physical Therapist in Private Practice | AZ | $302.5K | 14.1K | $21.42 |
| John Mckenzie | Physical Therapist in Private Practice | TX | $302.0K | 12.1K | $24.93 |
| Travis Boersma | Physical Therapist in Private Practice | FL | $302.0K | 13.7K | $22.03 |
| David Conti | Physical Therapist in Private Practice | NC | $299.4K | 13.4K | $22.33 |
| Matthew Fiano | Physical Therapist in Private Practice | VA | $294.9K | 12.5K | $23.52 |
| Ahson Mahfooz | Physical Therapist in Private Practice | NY | $292.9K | 11.4K | $25.59 |
Based on the data, CPT 97530 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 3.4% 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.