97750
HCPCS Procedure Code
HCPCS code 97750 is the #1,101 most-billed Medicaid procedure code, with $40.9M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $30.89. Costs vary widely — the 90th percentile is $71.11 per claim, 2.3× the median.
Total Paid
$40.9M
0.00% of all spending
Total Claims
1.2M
Providers
771
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for 97750? Based on 712 providers billing this code nationally.
Median
$30.89
Average
$35.48
Std Dev
$32.84
Max
$265.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.61 and $42.42 per claim for this code.
90% bill between $4.40 and $71.11.
Top 1% bill above $157.46.
About This Procedure
HCPCS code 97750 was billed by 771 providers across 1.2M claims, totaling $40.9M in Medicaid payments from 2018–2024. This code was used for 785K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.89
Providers Billing
712
National Spending
$40.9M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97750
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811084676 | $1.9M |
| 2 | 1396725677 | $913K |
| 3 | 1861717605 | $844K |
| 4 | 1124018031 | $675K |
| 5 | 1588663769 | $642K |
| 6 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $619K |
| 7 | 1235218785 | $617K |
| 8 | 1235120676 | $604K |
| 9 | 1255376893 | $598K |
| 10 | 1306215850 | $586K |
| 11 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $583K |
| 12 | 1992263040 | $581K |
| 13 | 1891763561 | $558K |
| 14 | 1518085430 | $533K |
| 15 | 1679599161 | $532K |
| 16 | 1750559431 | $521K |
| 17 | 1093892275 | $506K |
| 18 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $481K |
| 19 | 1609117829 | $478K |
| 20 | 1639443781 | $463K |
Showing top 20 of 771 providers billing this code