How much does Medicare pay for CPT 97140?

Medicare allowed an average of $20.62 per service and paid $15.88 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $67.88, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 97140?

Therapy procedure using manual technique, each 15 minutes. It was billed 28,359,909 times to 3,321,653 Medicare beneficiaries by 67,054 providers in 2024.

Does 97140 pay differently in an office than a hospital?

Yes. The allowed amount averaged $20.62 in an office setting and $19.15 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 97140 most?

Physical Therapist in Private Practice, with 25,936,478 services from 60,220 clinicians. Next are Occupational Therapist in Private Practice, Physical Medicine and Rehabilitation, Orthopedic Surgery.

CPT 97140

Therapy procedure using manual technique, each 15 minutes

$20.62Medicare-allowed amount per service, averaged across 28,359,909 services

Providers submitted

$67.88

Asking price, not received

Medicare allowed

$20.62

The fee schedule figure

Medicare paid

$15.88

Balance is patient coinsurance

Providers submitted an average of $67.88 for this code and Medicare allowed $20.62 — 3.3× 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 $15.88 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $20.62
Hospital / facility: $19.15

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 28,357,133 services were billed in an office setting and 2,776 in a facility.

Services: 28,359,909
Beneficiaries: 3,321,653
Providers billing it: 67,054
Total allowed: $584,781,324

What Medicare pays for CPT 97140

Across 28,359,909 services billed by 67,054 providers to 3,321,653 beneficiaries, Medicare allowed an average of $20.62 per service. That is 8.5 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 97140

Specialty	Services	Beneficiaries	Avg allowed	Providers
Physical Therapist in Private Practice	25,936,478	3,052,720	$20.59	60,220
Occupational Therapist in Private Practice	1,824,513	200,050	$20.76	5,455
Physical Medicine and Rehabilitation	135,923	12,645	$21.56	268
Orthopedic Surgery	133,803	24,602	$20.46	474
Family Practice	59,141	4,670	$21.76	89
Nurse Practitioner	55,685	5,577	$18.28	105
Internal Medicine	51,650	3,884	$22.71	73
General Practice	34,838	1,445	$21.00	10
Podiatry	24,759	4,231	$23.67	52
Anesthesiology	16,230	731	$21.90	15
General Surgery	12,114	740	$20.77	7
Pain Management	12,024	1,237	$21.66	26
Neurology	11,317	988	$23.13	27
Hand Surgery	11,197	2,386	$20.66	61
Physician Assistant	6,770	970	$17.40	25

97140 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.

State	Services	Allowed	Standardized pmt	Providers
California	3,689,761	$21.81	$15.66	6,052
New York	2,823,310	$22.15	$15.79	5,324
New Jersey	2,073,155	$21.94	$15.83	3,599
Florida	1,739,841	$19.90	$15.24	3,083
Pennsylvania	1,232,698	$20.33	$15.60	2,727
Illinois	1,001,469	$20.38	$15.41	3,131
Texas	994,895	$19.76	$15.39	2,825
Arizona	919,636	$19.92	$15.48	1,884
Maryland	888,596	$20.95	$15.46	1,861
Michigan	795,639	$19.97	$15.45	2,257
Virginia	737,217	$20.47	$15.53	1,842
Massachusetts	735,741	$21.12	$15.50	1,819
North Carolina	703,765	$19.70	$15.44	2,179
Colorado	675,000	$20.65	$15.57	1,819
Tennessee	600,974	$19.30	$15.44	1,609
Washington	582,904	$20.71	$15.40	2,063
Georgia	558,551	$19.87	$15.60	1,769
South Carolina	519,872	$19.44	$15.42	1,155
Louisiana	428,384	$19.39	$15.61	909
Indiana	404,578	$19.34	$15.26	1,187
Ohio	399,090	$19.25	$15.10	1,242
Alabama	351,239	$18.77	$15.36	1,059
Connecticut	338,991	$21.24	$15.67	907
Iowa	299,271	$19.44	$15.41	920
Nevada	292,470	$20.14	$15.50	576
Kentucky	289,701	$19.13	$15.30	797
Oregon	281,993	$20.25	$15.44	963
Wisconsin	275,441	$19.94	$15.58	1,195
Oklahoma	274,752	$18.96	$15.24	583
Missouri	274,482	$19.53	$15.40	816
Utah	238,534	$19.68	$15.49	637
Wyoming	231,741	$20.04	$15.45	348
Nebraska	225,304	$19.51	$15.43	558
Idaho	223,090	$19.33	$15.41	522
Mississippi	217,627	$19.08	$15.54	542
Kansas	206,563	$19.21	$15.42	607
Minnesota	198,699	$20.44	$15.65	1,081
Delaware	188,545	$20.16	$15.37	410
Arkansas	180,579	$18.96	$15.52	550
New Hampshire	156,859	$20.40	$15.56	359
Montana	143,691	$20.35	$15.58	442
Rhode Island	142,789	$20.71	$15.43	414
Hawaii	120,683	$20.91	$15.74	350
New Mexico	119,566	$19.59	$15.36	295
Maine	111,983	$20.27	$15.70	373
West Virginia	108,120	$18.87	$15.11	286
South Dakota	92,691	$20.23	$15.65	262
Vermont	75,470	$20.57	$15.61	199
North Dakota	70,261	$20.79	$16.01	232
Alaska	70,221	$26.62	$15.72	259
District of Columbia	41,405	$22.04	$15.72	127
U.S. Virgin Islands	4,449	$20.42	$15.48	16
Puerto Rico	3,447	$19.86	$15.46	17
Guam	1,427	$21.52	$16.04	4
XX	842	$20.56	$15.81	1
AA	585	$19.84	$15.70	1

Related codes

97110Therapy procedure$22.78
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function$27.06
97116Therapy procedure for walking training$21.87
97150Therapy procedure in a group setting$13.60
97161Evaluation for physical therapy$99.49
97162Evaluation for physical therapy$99.21
97113Therapy procedure$27.67
97130Therapy procedure for a range of mental processes$21.18
97164Re-evaluation for physical therapy$68.54
97124Therapy procedure$25.23
97129Therapy procedure for a range of mental processes$21.82
97163Evaluation for physical therapy$99.08

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.