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#622 of 11K

97116

Gait training

Gait training is the #622 most-billed Medicaid procedure code, with $122.9M in payments across 6.2M claims from 2018–2024. The national median cost per claim is $12.48. Costs vary widely — the 90th percentile is $39.47 per claim, 3.2× the median.

Total Paid

$122.9M

0.01% of all spending

Total Claims

6.2M

Providers

4K

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 97116? Based on 3K providers billing this code nationally.

Median

$12.48

Average

$18.17

Std Dev

$20.72

Max

$257.70

Percentile Distribution (Cost per Claim)

p10
$1.39
p25
$4.90
Median
$12.48
p75
$24.03
p90
$39.47
p95
$58.51
p99
$94.25

50% of providers bill between $4.90 and $24.03 per claim for this code.

90% bill between $1.39 and $39.47.

Top 1% bill above $94.25.

About This Procedure

HCPCS code 97116 (Gait training) was billed by 4K providers across 6.2M claims, totaling $122.9M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.48

Providers Billing

3K

National Spending

$122.9M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 97116

#ProviderTotal Paid
1City Of New York

Brooklyn, NY · Local Education Agency (LEA)

$4.0M
2Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$2.9M
31932347051$1.6M
41932343787$1.6M
5Nyc Department Of Education

New York, NY · Local Education Agency (LEA)

$1.5M
6Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$1.5M
7Fi-broward Nursing Llc

Pompano Beach, FL · Skilled Nursing Facility

$1.3M
81366446080$1.3M
91558365270$1.3M
101396068300$1.2M
11Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$1.2M
121942204607$1.1M
131770099822$1.1M
141750385308$1.0M
151780600825$998K
161790943066$939K
17Blythedale Children's Hospital

Valhalla, NY · Rehabilitation Hospital Children

$900K
181669513404$850K
191083850648$827K
201972984557$794K

Showing top 20 of 4K providers billing this code