97550
HCPCS Procedure Code
HCPCS code 97550 is the #6,300 most-billed Medicaid procedure code, with $76K in payments across 3K claims from 2018–2024. The national median cost per claim is $10.32. Costs vary widely — the 90th percentile is $57.04 per claim, 5.5× the median.
Total Paid
$76K
0.00% of all spending
Total Claims
3K
Providers
13
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 97550? Based on 10 providers billing this code nationally.
Median
$10.32
Average
$20.71
Std Dev
$27.07
Max
$81.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.55 and $25.74 per claim for this code.
90% bill between $0.74 and $57.04.
Top 1% bill above $78.99.
About This Procedure
HCPCS code 97550 was billed by 13 providers across 3K claims, totaling $76K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.32
Providers Billing
10
National Spending
$76K
Avg/Median Ratio
2.01×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 97550
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1528160033 | $41K |
| 2 | 1184139131 | $26K |
| 3 | 1114670742 | $3K |
| 4 | 1356737068 | $3K |
| 5 | 1124693924 | $2K |
| 6 | 1437675980 | $1K |
| 7 | 1053373480 | $458 |
| 8 | 1538744677 | $84 |
| 9 | 1992892558 | $44 |
| 10 | 1265521025 | $43 |
| 11 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $0 |
| 12 | 1871089763 | $0 |
| 13 | 1770593337 | $0 |
Showing top 13 of 13 providers billing this code