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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 97530
  4. Cost Analysis

How Much Does Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes Cost on Medicare?

Cost analysis for CPT 97530 — Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes

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Average Medicare Payment

$25.93

2023 data

Total Payments (2023)

$911.7M

Services (2023)

36.1M

Price Change (2014–2023)

+3.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$25.08$197.4M8.0M—
2015$25.04$226.0M9.1M-0.2%
2016$24.92$256.1M10.4M-0.5%
2017$25.14$297.8M12.0M+0.9%
2018$29.01$439.1M15.4M+15.4%
2019$28.71$549.2M19.5M-1.0%
2020$28.76$461.2M16.3M+0.2%
2021$28.57$648.9M23.1M-0.7%
2022$26.54$740.0M28.5M-7.1%
2023$25.93$911.7M36.1M-2.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $30.26 vs XX at $20.65.

StateAvg PaymentTotal PaymentsServicesProviders
AK$30.26$2.7M88.3K229
NY$28.96$88.4M3.1M4.6K
DC$28.52$1.9M67.9K157
NJ$28.40$67.7M2.4M3.6K
CT$27.73$8.0M289.9K732
MA$27.24$20.0M733.1K1.6K
CA$27.07$99.9M3.7M5.2K
RI$26.89$4.1M150.7K371
MD$26.89$31.5M1.2M1.9K
AE$26.62$38.7K1.5K6
GU$26.15$5.5K2122
HI$25.91$2.1M80.3K225
NH$25.91$2.7M102.6K297
AP$25.87$15.2K5874
PR$25.62$36.7K1.4K11
PA$25.60$39.2M1.5M2.5K
VA$25.36$27.4M1.1M1.9K
DE$25.34$9.0M355.7K462
CO$25.25$15.5M614.4K1.5K
IL$25.16$47.1M1.9M3.3K
MN$24.97$3.8M152.8K821
WA$24.92$26.9M1.1M2.3K
SD$24.73$2.2M87.4K205
WY$24.70$3.6M146.4K267
MI$24.63$21.3M864.8K2.1K
VI$24.57$105.4K4.3K10
AA$24.51$8.4K3431
ME$24.37$2.9M117.2K305
NV$24.30$7.9M325.6K523
UT$24.20$4.5M184.6K370
ND$24.19$1.5M63.0K141
WI$24.05$7.5M311.4K901
GA$24.05$24.2M1.0M1.8K
AZ$24.04$30.2M1.3M1.8K
TX$23.79$38.9M1.6M2.7K
IA$23.78$8.1M340.7K843
FL$23.76$52.4M2.2M2.8K
OR$23.74$11.3M478.0K1.0K
VT$23.68$1.3M54.5K133
MT$23.63$5.0M213.2K398
NC$23.59$22.3M945.0K2.0K
LA$23.49$7.9M335.9K657
OH$23.42$13.3M566.4K1.3K
NE$23.23$8.0M342.3K586
AL$23.21$11.0M474.7K1.1K
ID$23.17$5.1M219.8K443
KS$23.17$9.1M393.3K652
MO$23.15$13.6M585.9K986
TN$23.07$19.2M833.2K1.6K
SC$22.92$25.0M1.1M1.2K
OK$22.91$8.7M379.3K533

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Patricia FreirePhysical Therapist in Private PracticeFL$536.7K27.6K$19.47
Kari ReidOccupational Therapist in Private PracticeFL$473.0K23.9K$19.78
Scott ChirichettiPhysical Medicine and RehabilitationVA$427.7K18.7K$22.90
Imara ParamoOccupational Therapist in Private PracticeFL$419.2K19.2K$21.79
Pedro MachinOccupational Therapist in Private PracticeFL$413.0K18.2K$22.75
Lissa TrevinoPhysical Therapist in Private PracticeCA$411.8K16.4K$25.04
Erik LandswickPhysical Therapist in Private PracticeCA$366.6K14.0K$26.17
Terri Bechtel GreenbergPhysical Therapist in Private PracticeCA$365.6K14.5K$25.23
Lance WestcottPhysical Therapist in Private PracticeCA$361.7K12.6K$28.69
Christina BakerPhysical Therapist in Private PracticeIL$337.9K16.0K$21.18
Maria Theresa BaylonPhysical Therapist in Private PracticeCA$331.3K14.4K$23.08
Alicia NixonPhysical Therapist in Private PracticeFL$323.2K15.4K$20.93
Diane Hodges PoppsPhysical Therapist in Private PracticeTX$316.1K12.7K$24.97
Rick MontoyaPhysical Therapist in Private PracticeCA$306.8K13.0K$23.61
Adi HaliliPhysical Therapist in Private PracticeAZ$302.5K14.1K$21.42
John MckenziePhysical Therapist in Private PracticeTX$302.0K12.1K$24.93
Travis BoersmaPhysical Therapist in Private PracticeFL$302.0K13.7K$22.03
David ContiPhysical Therapist in Private PracticeNC$299.4K13.4K$22.33
Matthew FianoPhysical Therapist in Private PracticeVA$294.9K12.5K$23.52
Ahson MahfoozPhysical Therapist in Private PracticeNY$292.9K11.4K$25.59

🤔 Is Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.