97112
Therapeutic procedure, neuromuscular reeducation, per 15 minutes
Therapeutic procedure, neuromuscular reeducation, per 15 minutes is the #184 most-billed Medicaid procedure code, with $920.6M in payments across 37.6M claims from 2018–2024. The national median cost per claim is $20.04. Costs vary widely — the 90th percentile is $44.63 per claim, 2.2× the median.
Total Paid
$920.6M
0.08% of all spending
Total Claims
37.6M
Providers
11K
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 97112? Based on 10K providers billing this code nationally.
Median
$20.04
Average
$23.68
Std Dev
$22.68
Max
$716.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.85 and $30.23 per claim for this code.
90% bill between $3.71 and $44.63.
Top 1% bill above $90.96.
About This Procedure
HCPCS code 97112 (Therapeutic procedure, neuromuscular reeducation, per 15 minutes) was billed by 11K providers across 37.6M claims, totaling $920.6M in Medicaid payments from 2018–2024. This code was used for 11.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.04
Providers Billing
10K
National Spending
$920.6M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97112
| # | Provider | Total Paid |
|---|---|---|
| 1 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $13.6M |
| 2 | City Of New York Brooklyn, NY · Local Education Agency (LEA) | $13.6M |
| 3 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $9.6M |
| 4 | 1811084676 | $7.6M |
| 5 | 1164851085 | $6.6M |
| 6 | 1033293691 | $6.0M |
| 7 | Nyc Department Of Education New York, NY · Local Education Agency (LEA) | $5.1M |
| 8 | 1255354288 | $4.3M |
| 9 | 1144392861 | $4.1M |
| 10 | Buck Jack Llc Colorado Springs, CO · Occupational Therapist | $4.1M |
| 11 | 1770830325 | $4.0M |
| 12 | 1275576589 | $3.8M |
| 13 | 1629057930 | $3.7M |
| 14 | 1164474334 | $3.7M |
| 15 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $3.6M |
| 16 | 1205875093 | $3.4M |
| 17 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $3.3M |
| 18 | 1124136593 | $3.3M |
| 19 | 1790230571 | $3.1M |
| 20 | 1982657433 | $3.1M |
Showing top 20 of 11K providers billing this code