97116
Gait training
Gait training is the #622 most-billed Medicaid procedure code, with $122.9M in payments across 6.2M claims from 2018–2024. The national median cost per claim is $12.48. Costs vary widely — the 90th percentile is $39.47 per claim, 3.2× the median.
Total Paid
$122.9M
0.01% of all spending
Total Claims
6.2M
Providers
4K
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 97116? Based on 3K providers billing this code nationally.
Median
$12.48
Average
$18.17
Std Dev
$20.72
Max
$257.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.90 and $24.03 per claim for this code.
90% bill between $1.39 and $39.47.
Top 1% bill above $94.25.
About This Procedure
HCPCS code 97116 (Gait training) was billed by 4K providers across 6.2M claims, totaling $122.9M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.48
Providers Billing
3K
National Spending
$122.9M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97116
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of New York Brooklyn, NY · Local Education Agency (LEA) | $4.0M |
| 2 | Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner | $2.9M |
| 3 | 1932347051 | $1.6M |
| 4 | 1932343787 | $1.6M |
| 5 | Nyc Department Of Education New York, NY · Local Education Agency (LEA) | $1.5M |
| 6 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $1.5M |
| 7 | Fi-broward Nursing Llc Pompano Beach, FL · Skilled Nursing Facility | $1.3M |
| 8 | 1366446080 | $1.3M |
| 9 | 1558365270 | $1.3M |
| 10 | 1396068300 | $1.2M |
| 11 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $1.2M |
| 12 | 1942204607 | $1.1M |
| 13 | 1770099822 | $1.1M |
| 14 | 1750385308 | $1.0M |
| 15 | 1780600825 | $998K |
| 16 | 1790943066 | $939K |
| 17 | Blythedale Children's Hospital Valhalla, NY · Rehabilitation Hospital Children | $900K |
| 18 | 1669513404 | $850K |
| 19 | 1083850648 | $827K |
| 20 | 1972984557 | $794K |
Showing top 20 of 4K providers billing this code