97607
HCPCS Procedure Code
HCPCS code 97607 is the #6,519 most-billed Medicaid procedure code, with $59K in payments across 2,900 claims from 2018–2024. The national median cost per claim is $8.52. Costs vary widely — the 90th percentile is $77.71 per claim, 9.1× the median.
Total Paid
$59K
0.00% of all spending
Total Claims
2,900
Providers
7
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 97607? Based on 7 providers billing this code nationally.
Median
$8.52
Average
$27.99
Std Dev
$35.74
Max
$89.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.89 and $39.88 per claim for this code.
90% bill between $5.65 and $77.71.
Top 1% bill above $87.94.
About This Procedure
HCPCS code 97607 was billed by 7 providers across 2,900 claims, totaling $59K in Medicaid payments from 2018–2024. This code was used for 917 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.52
Providers Billing
7
National Spending
$59K
Avg/Median Ratio
3.29×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 97607
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952309098 | $22K |
| 2 | 1104867167 | $18K |
| 3 | 1821424789 | $10K |
| 4 | 1699225029 | $8K |
| 5 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $135 |
| 6 | 1811398811 | $126 |
| 7 | 1578569885 | $124 |
Showing top 7 of 7 providers billing this code