RxDoctor Payments Data

CPT 97024

Application of heat wave therapy

$4.77Medicare-allowed amount per service, averaged across 9,343 services
Providers submitted
$21.71

Asking price, not received

Medicare allowed
$4.77

The fee schedule figure

Medicare paid
$3.68

Balance is patient coinsurance

Providers submitted an average of $21.71 for this code and Medicare allowed $4.774.6× 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 $3.68 (77%); the rest is the patient’s coinsurance and deductible.

Services
9,343

Medicare Part B, 2024

Beneficiaries
1,180
Providers billing it
29
Total allowed
$44,566

Services × allowed amount

What Medicare pays for CPT 97024

Across 9,343 services billed by 29 providers to 1,180 beneficiaries, Medicare allowed an average of $4.77 per service. That is 7.9 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 97024

SpecialtyServicesBeneficiariesAvg allowedProviders
Physical Therapist in Private Practice6,985777$4.7421
Osteopathic Manipulative Medicine980263$5.232
Occupational Therapist in Private Practice94748$4.102
Internal Medicine28852$5.201
Family Practice8218$8.641
Physical Medicine and Rehabilitation3711$4.571
General Practice2411$5.211

97024 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
California3,727$5.39$3.6810
Mississippi1,519$4.14$3.471
Arizona872$4.34$3.314
Arkansas712$3.93$3.801
Missouri590$5.25$4.241
Massachusetts578$4.57$3.442
Virginia240$4.07$2.811
Alabama235$4.27$3.631
New Hampshire202$4.74$3.401
Texas194$4.06$3.171
South Carolina154$4.42$3.492
Pennsylvania102$4.97$3.741
Oregon94$4.60$3.631
Iowa89$4.39$3.231
Ohio35$4.33$3.281

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.