97039
HCPCS Procedure Code
HCPCS code 97039 is the #1,856 most-billed Medicaid procedure code, with $12.6M in payments across 543K claims from 2018–2024. The national median cost per claim is $16.74. Costs vary widely — the 90th percentile is $44.47 per claim, 2.7× the median.
Total Paid
$12.6M
0.00% of all spending
Total Claims
543K
Providers
142
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 97039? Based on 109 providers billing this code nationally.
Median
$16.74
Average
$21.71
Std Dev
$22.12
Max
$152.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.81 and $29.94 per claim for this code.
90% bill between $1.55 and $44.47.
Top 1% bill above $85.17.
About This Procedure
HCPCS code 97039 was billed by 142 providers across 543K claims, totaling $12.6M in Medicaid payments from 2018–2024. This code was used for 200K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.74
Providers Billing
109
National Spending
$12.6M
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97039
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669420980 | $2.0M |
| 2 | 1407046881 | $1.5M |
| 3 | 1508948837 | $985K |
| 4 | 1215063052 | $957K |
| 5 | 1225139165 | $636K |
| 6 | 1487109674 | $558K |
| 7 | 1194807941 | $508K |
| 8 | 1104120385 | $501K |
| 9 | 1881749323 | $432K |
| 10 | 1144638206 | $428K |
| 11 | 1255376893 | $408K |
| 12 | 1861717605 | $350K |
| 13 | 1487967014 | $336K |
| 14 | 1679599161 | $234K |
| 15 | 1659439834 | $209K |
| 16 | 1760532337 | $201K |
| 17 | 1164453890 | $175K |
| 18 | 1306215850 | $169K |
| 19 | 1114926821 | $141K |
| 20 | 1740348929 | $134K |
Showing top 20 of 142 providers billing this code