Medicare Spending for Outpatient Therapy in 2017

October 24, 2019
Rick Gawenda

The Medicare Payment Advisory Commission (MedPAC) has released a 3-page document providing data and Medicare spending for outpatient therapy in calendar year 2017. Here is a brief summary of the report.

Distribution of Outpatient Therapy by Setting

Skilled Nursing Facility: 37%

PT in Private Practice: 34%

Hospital: 16%

ORF, CORF and HHA: 9%

OT & SLP Private Practice: 3%

Physician & Nonphysician Practitioner: 2%

Keep in mind that PT in private practice can include physical therapists who practice in a physician-owned therapy practice, but are submitting claims under the NPI number of the treating physical therapist.

Spending by Discipline

In 2017, the Medicare program paid $8 billion dollars for outpatient therapy services. This was increase of 6% from 2016. Physical therapy accounted for 72% of the outpatient therapy spending followed by occupational therapy at 20% and speech therapy at 8%.

To access the 3-page document, click HERE.

All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.

This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

  1. Interesting to see how much was SNF. Would have thought Private Practice. Will be interesting to see if PDPM changes this balance.