97150
Therapeutic procedure, group (2+ patients)
Therapeutic procedure, group (2+ patients) is the #230 most-billed Medicaid procedure code, with $643.8M in payments across 10.9M claims from 2018–2024. The national median cost per claim is $12.12. Costs vary widely — the 90th percentile is $29.71 per claim, 2.5× the median.
Total Paid
$643.8M
0.06% of all spending
Total Claims
10.9M
Providers
4K
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for 97150? Based on 3K providers billing this code nationally.
Median
$12.12
Average
$42.83
Std Dev
$172.44
Max
$2,578.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.30 and $17.68 per claim for this code.
90% bill between $2.98 and $29.71.
Top 1% bill above $1,029.09.
About This Procedure
HCPCS code 97150 (Therapeutic procedure, group (2+ patients)) was billed by 4K providers across 10.9M claims, totaling $643.8M in Medicaid payments from 2018–2024. This code was used for 3.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.12
Providers Billing
3K
National Spending
$643.8M
Avg/Median Ratio
3.53×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 97150
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265470686 | $35.1M |
| 2 | City Of New York Brooklyn, NY · Local Education Agency (LEA) | $17.7M |
| 3 | 1093768921 | $16.4M |
| 4 | Soar 365 Richmond, VA · Day Training Developmentally Disabled Services | $14.7M |
| 5 | 1447651070 | $14.3M |
| 6 | Rappahannock Area Community Services Board Fredericksburg, VA · Day Training, Developmentally Disabled Services | $13.5M |
| 7 | 1730589805 | $11.1M |
| 8 | 1235125055 | $10.1M |
| 9 | Mount Rogers Community Services Wytheville, VA · Clinic/Center Mental Health (Including Community Mental Health Center) | $10.0M |
| 10 | 1922015577 | $9.4M |
| 11 | 1063799807 | $9.3M |
| 12 | 1205134319 | $9.0M |
| 13 | 1568524627 | $8.7M |
| 14 | 1467542415 | $8.5M |
| 15 | 1467607580 | $7.9M |
| 16 | 1528091063 | $7.9M |
| 17 | 1568424364 | $7.8M |
| 18 | 1073826319 | $7.7M |
| 19 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $7.5M |
| 20 | Heritage House Of Virginia Inc. Stafford, VA · Residential Treatment Facility Intellectual and/or Developmental Disabilities | $7.2M |
Showing top 20 of 4K providers billing this code