97802
Medical nutrition therapy, reassessment, individual, fifteen minutes
Medical nutrition therapy, reassessment, individual, fifteen minutes is the #675 most-billed Medicaid procedure code, with $107.6M in payments across 8.4M claims from 2018–2024. The national median cost per claim is $12.70. Costs vary widely — the 90th percentile is $93.56 per claim, 7.4× the median.
Total Paid
$107.6M
0.01% of all spending
Total Claims
8.4M
Providers
5K
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 97802? Based on 4K providers billing this code nationally.
Median
$12.70
Average
$32.40
Std Dev
$45.94
Max
$680.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.76 and $48.23 per claim for this code.
90% bill between $0.25 and $93.56.
Top 1% bill above $185.85.
About This Procedure
HCPCS code 97802 (Medical nutrition therapy, reassessment, individual, fifteen minutes) was billed by 5K providers across 8.4M claims, totaling $107.6M in Medicaid payments from 2018–2024. This code was used for 7.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.70
Providers Billing
4K
National Spending
$107.6M
Avg/Median Ratio
2.55×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 97802
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851652739 | $2.2M |
| 2 | 1003011602 | $1.4M |
| 3 | 1700070935 | $1.3M |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $1.1M |
| 5 | 1588614192 | $955K |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $927K |
| 7 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $772K |
| 8 | 1598139883 | $744K |
| 9 | 1770760530 | $740K |
| 10 | 1174868897 | $739K |
| 11 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $721K |
| 12 | 1689066029 | $682K |
| 13 | 1518747401 | $668K |
| 14 | 1124141163 | $667K |
| 15 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $657K |
| 16 | 1003902610 | $608K |
| 17 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $605K |
| 18 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $565K |
| 19 | 1023122967 | $555K |
| 20 | 1881763068 | $547K |
Showing top 20 of 5K providers billing this code