97035
Ultrasound therapy
Ultrasound therapy is the #1,170 most-billed Medicaid procedure code, with $35.7M in payments across 3.2M claims from 2018–2024. The national median cost per claim is $7.31. Costs vary widely — the 90th percentile is $22.18 per claim, 3.0× the median.
Total Paid
$35.7M
0.00% of all spending
Total Claims
3.2M
Providers
2K
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 97035? Based on 2K providers billing this code nationally.
Median
$7.31
Average
$11.78
Std Dev
$16.27
Max
$172.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.95 and $11.26 per claim for this code.
90% bill between $1.57 and $22.18.
Top 1% bill above $86.12.
About This Procedure
HCPCS code 97035 (Ultrasound therapy) was billed by 2K providers across 3.2M claims, totaling $35.7M in Medicaid payments from 2018–2024. This code was used for 998K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.31
Providers Billing
2K
National Spending
$35.7M
Avg/Median Ratio
1.61×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 97035
| # | Provider | Total Paid |
|---|---|---|
| 1 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $1.1M |
| 2 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $967K |
| 3 | Sports And Pain Interventions Psc Hormigueros, PR · Clinic/Center Pain | $820K |
| 4 | 1811922347 | $816K |
| 5 | 1790780047 | $712K |
| 6 | 1043204316 | $465K |
| 7 | 1174725980 | $421K |
| 8 | 1760454334 | $397K |
| 9 | 1629075734 | $358K |
| 10 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $326K |
| 11 | 1013009984 | $319K |
| 12 | 1447283353 | $318K |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $309K |
| 14 | 1114274784 | $297K |
| 15 | 1033293691 | $288K |
| 16 | 1548475981 | $285K |
| 17 | Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital | $281K |
| 18 | 1023191467 | $280K |
| 19 | 1831249036 | $271K |
| 20 | 1427041581 | $253K |
Showing top 20 of 2K providers billing this code