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#2355 of 11K

97763

HCPCS Procedure Code

HCPCS code 97763 is the #2,355 most-billed Medicaid procedure code, with $6.5M in payments across 156K claims from 2018–2024. The national median cost per claim is $34.99. Costs vary widely — the 90th percentile is $81.38 per claim, 2.3× the median.

Total Paid

$6.5M

0.00% of all spending

Total Claims

156K

Providers

148

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 97763? Based on 138 providers billing this code nationally.

Median

$34.99

Average

$41.67

Std Dev

$36.25

Max

$241.55

Percentile Distribution (Cost per Claim)

p10
$9.54
p25
$20.91
Median
$34.99
p75
$54.40
p90
$81.38
p95
$95.74
p99
$198.21

50% of providers bill between $20.91 and $54.40 per claim for this code.

90% bill between $9.54 and $81.38.

Top 1% bill above $198.21.

About This Procedure

HCPCS code 97763 was billed by 148 providers across 156K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 63K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.99

Providers Billing

138

National Spending

$6.5M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 97763

#ProviderTotal Paid
1Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$874K
2Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$412K
31467506691$372K
41407813660$334K
51922470608$305K
61972645836$285K
7West Coast Spine Restoration Center Inc

Riverside, CA · Physical Therapist

$284K
8Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$283K
9Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$231K
101134175201$202K
11Sage River Counseling

Seattle, WA · Counselor Mental Health

$188K
121689656183$180K
131679524391$162K
141811047921$127K
151760436190$121K
16Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$110K
171285123620$108K
18University Of Washington

Seattle, WA · Clinic/Center, Dental

$105K
191013981554$102K
20Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$86K

Showing top 20 of 148 providers billing this code

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