97001
HCPCS Procedure Code
HCPCS code 97001 is the #3,368 most-billed Medicaid procedure code, with $1.8M in payments across 44K claims from 2018–2024. The national median cost per claim is $50.40.
Total Paid
$1.8M
0.00% of all spending
Total Claims
44K
Providers
176
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 97001? Based on 160 providers billing this code nationally.
Median
$50.40
Average
$61.62
Std Dev
$47.07
Max
$504.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.76 and $77.57 per claim for this code.
90% bill between $24.82 and $99.10.
Top 1% bill above $157.90.
About This Procedure
HCPCS code 97001 was billed by 176 providers across 44K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.40
Providers Billing
160
National Spending
$1.8M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97001
| # | Provider | Total Paid |
|---|---|---|
| 1 | Kid Success Inc. Conway, AR · Clinic/Center Rehabilitation | $144K |
| 2 | 1215967831 | $92K |
| 3 | 1922043686 | $88K |
| 4 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $85K |
| 5 | 1316902414 | $60K |
| 6 | 1477549756 | $59K |
| 7 | 1568433480 | $56K |
| 8 | Full Potential Little Rock, AR · Clinic/Center Primary Care | $53K |
| 9 | 1043304942 | $52K |
| 10 | Los Angeles Unified School District Los Angeles, CA · Social Worker School | $49K |
| 11 | 1871755223 | $39K |
| 12 | 1689628232 | $36K |
| 13 | Kids For The Future Of Forrest City Inc. Forrest City, AR · Early Intervention Provider Agency | $35K |
| 14 | 1912288309 | $28K |
| 15 | 1811047921 | $28K |
| 16 | 1659581932 | $27K |
| 17 | 1699726695 | $25K |
| 18 | 1497770424 | $24K |
| 19 | 1285602946 | $23K |
| 20 | 1386964351 | $22K |
Showing top 20 of 176 providers billing this code