97532
HCPCS Procedure Code
HCPCS code 97532 is the #1,173 most-billed Medicaid procedure code, with $35.7M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $28.76. Costs vary widely — the 90th percentile is $70.03 per claim, 2.4× the median.
Total Paid
$35.7M
0.00% of all spending
Total Claims
1.2M
Providers
104
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 97532? Based on 98 providers billing this code nationally.
Median
$28.76
Average
$45.22
Std Dev
$66.24
Max
$645.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.58 and $48.01 per claim for this code.
90% bill between $22.54 and $70.03.
Top 1% bill above $216.18.
About This Procedure
HCPCS code 97532 was billed by 104 providers across 1.2M claims, totaling $35.7M in Medicaid payments from 2018–2024. This code was used for 257K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.76
Providers Billing
98
National Spending
$35.7M
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 97532
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of New York Brooklyn, NY · Local Education Agency (LEA) | $15.5M |
| 2 | Nyc Department Of Education New York, NY · Local Education Agency (LEA) | $3.8M |
| 3 | 1598065096 | $1.8M |
| 4 | Kid Success Inc. Conway, AR · Clinic/Center Rehabilitation | $1.6M |
| 5 | Full Potential Little Rock, AR · Clinic/Center Primary Care | $846K |
| 6 | 1356581367 | $754K |
| 7 | 1689124992 | $645K |
| 8 | Jlm Ventures Inc. Little Rock, AR · Clinic/Center Developmental Disabilities | $564K |
| 9 | Kids For The Future Of Marion Marion, AR · Developmental Therapist | $441K |
| 10 | Kids For The Future Of Forrest City Inc. Forrest City, AR · Early Intervention Provider Agency | $438K |
| 11 | 1063767895 | $334K |
| 12 | Mkjd Llc Batesville, AR · Clinic/Center Rehabilitation | $317K |
| 13 | 1588719041 | $302K |
| 14 | Mct Inc. Little Rock, AR · Clinic/Center Developmental Disabilities | $297K |
| 15 | Miracle Kids Success Academy Inc. Jonesboro, AR · Clinic/Center Rehabilitation | $285K |
| 16 | Kids For The Future Rogers Inc. Rogers, AR · Clinic/Center Developmental Disabilities | $279K |
| 17 | 1386964351 | $238K |
| 18 | Kids For The Future Of Marianna Inc. Marianna, AR · Early Intervention Provider Agency | $227K |
| 19 | 1003982190 | $223K |
| 20 | Kidspiration Pediatric Therapy Services Inc. Mountain Home, AR · Clinic/Center Primary Care | $208K |
Showing top 20 of 104 providers billing this code