97542
Wheelchair management training
Wheelchair management training is the #2,224 most-billed Medicaid procedure code, with $7.6M in payments across 252K claims from 2018–2024. The national median cost per claim is $18.66. Costs vary widely — the 90th percentile is $82.27 per claim, 4.4× the median.
Total Paid
$7.6M
0.00% of all spending
Total Claims
252K
Providers
473
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 97542? Based on 376 providers billing this code nationally.
Median
$18.66
Average
$32.27
Std Dev
$43.32
Max
$399.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.85 and $40.27 per claim for this code.
90% bill between $1.80 and $82.27.
Top 1% bill above $201.93.
About This Procedure
HCPCS code 97542 (Wheelchair management training) was billed by 473 providers across 252K claims, totaling $7.6M in Medicaid payments from 2018–2024. This code was used for 133K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.66
Providers Billing
376
National Spending
$7.6M
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 97542
| # | Provider | Total Paid |
|---|---|---|
| 1 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $664K |
| 2 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $465K |
| 3 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $404K |
| 4 | 1063454346 | $309K |
| 5 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $290K |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $244K |
| 7 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $207K |
| 8 | 1184063117 | $203K |
| 9 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $170K |
| 10 | 1841349792 | $156K |
| 11 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $142K |
| 12 | City Of New York Brooklyn, NY · Local Education Agency (LEA) | $141K |
| 13 | 1275624694 | $132K |
| 14 | 1689656183 | $117K |
| 15 | 1528061827 | $116K |
| 16 | 1366433385 | $105K |
| 17 | 1750385308 | $104K |
| 18 | 1730133463 | $98K |
| 19 | 1134517709 | $97K |
| 20 | 1720009715 | $92K |
Showing top 20 of 473 providers billing this code