Medicare spending analysis for Physical Therapist in Private Practice providers
Physical Therapist in Private Practice accounts for $21.4B in Medicare payments across 476.5K providers.
The specialty's average markup of 3.0x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2016 | $2.2B | 106.6M | 46.9K | — |
| 2017 | $2.3B | 112.3M | 50.4K | +7.0% |
| 2018 | $2.5B | 120.1M | 54.2K | +8.0% |
| 2019 | $2.8B | 132.7M | 58.4K | +11.7% |
| 2020 | $2.3B | 105.9M | 58.8K | -19.3% |
| 2021 | $2.9B | 133.5M | 65.1K | +27.6% |
| 2022 | $3.0B | 145.6M | 69.3K | +3.9% |
| 2023 | $3.3B | 161.8M | 73.5K | +9.4% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Patrick Black | CA | $14.0M | 15.5K | $904.32 |
| 2 | Linda Bankovich | AE | $9.8M | 829.4K | $11.76 |
| 3 | Nnaemeka Nnaji | CA | $3.6M | 3.8K | $959.61 |
| 4 | Patricia Freire | FL | $1.5M | 86.3K | $17.86 |
| 5 | Gayle Reed | FL | $1.3M | 67.3K | $19.93 |
| 6 | Frank Cawley | PA | $1.1M | 53.7K | $20.36 |
| 7 | Utkarsh Patel | FL | $878.8K | 47.4K | $18.52 |
| 8 | Larry Brimhall | AZ | $878.1K | 44.7K | $19.63 |
| 9 | Ryan Urenda | FL | $853.5K | 39.2K | $21.77 |
| 10 | Peter Scordo | NJ | $849.0K | 39.2K | $21.64 |
| 11 | Maria Theresa Baylon | CA | $848.7K | 43.4K | $19.58 |
| 12 | Zachary Michael | TX | $841.8K | 45.4K | $18.56 |
| 13 | Chand Parveen Shaik | NY | $803.7K | 43.4K | $18.50 |
| 14 | Jordan The | CA | $800.3K | 696 | $1.1K |
| 15 | Judy Lokey | TX | $786.1K | 39.6K | $19.86 |
| 16 | James Adisano | FL | $744.0K | 42.3K | $17.58 |
| 17 | John Mckenzie | TX | $742.6K | 34.5K | $21.55 |
| 18 | Ahson Mahfooz | NY | $729.3K | 31.6K | $23.07 |
| 19 | Rodney Velazquez | FL | $728.7K | 42.1K | $17.33 |
| 20 | Travis Boersma | FL | $720.8K | 40.0K | $18.04 |
| 21 | Mohammed Khan | MI | $717.0K | 36.8K | $19.47 |
| 22 | Diane Hodges Popps | TX | $685.7K | 30.9K | $22.16 |
| 23 | David Bullock | MD | $673.3K | 29.9K | $22.49 |
| 24 | Martha Acero-Vega | FL | $666.6K | 34.6K | $19.28 |
| 25 | Timothy Tsang | NY | $650.9K | 26.2K | $24.84 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $1.0B | 57.4M | $18.02 |
| 97530 | Therapy procedure using functional activities | $772.8M | 30.5M | $25.37 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $586.3M | 27.1M | $21.66 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $427.3M | 26.3M | $16.23 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | $111.7M | 1.5M | $74.28 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | $95.8M | 1.3M | $74.21 |
| 97116 | Therapy procedure for walking training, each 15 minutes | $69.7M | 4.0M | $17.56 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $35.5M | 5.0M | $7.06 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | $28.8M | 1.3M | $21.74 |
| 97535 | Training for self-care or home management, each 15 minutes | $24.5M | 1.2M | $21.12 |
| 97150 | Therapy procedure in a group setting | $23.0M | 2.1M | $10.77 |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | $22.7M | 424.4K | $53.55 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | $13.9M | 186.4K | $74.58 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $9.8M | 829.4K | $11.76 |
| Q4262 | Dual layer impax membrane, per square centimeter | $6.5M | 6.3K | $1.0K |
| 97035 | Application of ultrasound, each 15 minutes | $6.1M | 731.2K | $8.31 |
| 97016 | Application of blood vessel compression device | $5.0M | 740.6K | $6.75 |
| Q4281 | Barrera sl or barrera dl, per square centimeter | $4.6M | 3.8K | $1.2K |
| 97124 | Therapy procedure using massage, each 15 minutes | $4.5M | 224.0K | $19.97 |
| Q4236 | Carepatch, per square centimeter | $4.3M | 4.7K | $926.31 |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.