RxDoctor Payments Data

CPT 97022

Application of whirlpool therapy

$11.83Medicare-allowed amount per service, averaged across 103,347 services
Providers submitted
$47.98

Asking price, not received

Medicare allowed
$11.83

The fee schedule figure

Medicare paid
$9.11

Balance is patient coinsurance

Providers submitted an average of $47.98 for this code and Medicare allowed $11.834.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $9.11 (77%); the rest is the patient’s coinsurance and deductible.

Services
103,347

Medicare Part B, 2024

Beneficiaries
22,774
Providers billing it
698
Total allowed
$1,222,595

Services × allowed amount

What Medicare pays for CPT 97022

Across 103,347 services billed by 698 providers to 22,774 beneficiaries, Medicare allowed an average of $11.83 per service. That is 4.5 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 97022

SpecialtyServicesBeneficiariesAvg allowedProviders
Occupational Therapist in Private Practice75,60315,470$11.17565
Physical Therapist in Private Practice13,7162,409$11.0961
Podiatry11,7644,293$17.0546
Orthopedic Surgery1,112304$11.3013
Neurology46573$10.532
Hand Surgery29288$11.304
Sports Medicine24655$10.772
Plastic and Reconstructive Surgery4632$10.962
Neurosurgery4423$10.751
Family Practice3615$10.421
Physical Medicine and Rehabilitation2312$10.721

97022 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
New York11,520$15.02$10.2360
Florida8,828$11.31$8.7667
Illinois8,374$12.42$9.1744
California7,365$13.20$9.6127
Texas6,384$12.70$10.1226
North Carolina5,973$10.63$8.5542
Pennsylvania4,185$11.50$8.8241
New Jersey4,054$12.35$8.8327
Delaware3,699$11.17$8.7719
Washington3,596$11.47$8.6616
Alabama3,540$10.11$8.6125
Mississippi3,537$10.26$8.5520
Georgia3,493$10.95$8.8335
South Carolina3,158$11.04$8.9232
Louisiana2,892$10.27$8.7522
Tennessee2,308$10.57$8.6228
Michigan2,300$11.04$8.6623
Arizona2,108$11.14$8.7210
Maryland1,784$11.30$8.7410
Kentucky1,497$11.08$9.0915
Idaho1,418$10.53$8.486
Oklahoma1,293$10.45$8.446
Kansas1,196$10.59$8.5514
Arkansas1,093$10.14$8.3514
Virginia988$11.51$8.6910
South Dakota982$10.35$8.394
Ohio945$10.92$8.6212
Rhode Island742$12.64$9.429
Massachusetts722$11.23$8.277
Missouri671$10.51$8.452
Utah610$10.73$8.815
Oregon560$10.33$8.601
Colorado322$11.14$8.472
Connecticut205$11.80$8.763
Nevada190$11.21$8.881
Indiana187$10.52$8.894
New Hampshire153$10.94$8.771
Minnesota152$11.12$8.593
Wisconsin149$11.02$8.833
Montana87$11.25$8.861
Nebraska87$10.62$8.801

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.