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#184 of 11K

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)

p10
$3.71
p25
$10.85
Median
$20.04
p75
$30.23
p90
$44.63
p95
$59.09
p99
$90.96

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

#ProviderTotal Paid
1New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$13.6M
2City Of New York

Brooklyn, NY · Local Education Agency (LEA)

$13.6M
3Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$9.6M
41811084676$7.6M
51164851085$6.6M
61033293691$6.0M
7Nyc Department Of Education

New York, NY · Local Education Agency (LEA)

$5.1M
81255354288$4.3M
91144392861$4.1M
10Buck Jack Llc

Colorado Springs, CO · Occupational Therapist

$4.1M
111770830325$4.0M
121275576589$3.8M
131629057930$3.7M
141164474334$3.7M
15Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$3.6M
161205875093$3.4M
17Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$3.3M
181124136593$3.3M
191790230571$3.1M
201982657433$3.1M

Showing top 20 of 11K providers billing this code