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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $874K |
| 2 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $412K |
| 3 | 1467506691 | $372K |
| 4 | 1407813660 | $334K |
| 5 | 1922470608 | $305K |
| 6 | 1972645836 | $285K |
| 7 | West Coast Spine Restoration Center Inc Riverside, CA · Physical Therapist | $284K |
| 8 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $283K |
| 9 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $231K |
| 10 | 1134175201 | $202K |
| 11 | Sage River Counseling Seattle, WA · Counselor Mental Health | $188K |
| 12 | 1689656183 | $180K |
| 13 | 1679524391 | $162K |
| 14 | 1811047921 | $127K |
| 15 | 1760436190 | $121K |
| 16 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $110K |
| 17 | 1285123620 | $108K |
| 18 | University Of Washington Seattle, WA · Clinic/Center, Dental | $105K |
| 19 | 1013981554 | $102K |
| 20 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $86K |
Showing top 20 of 148 providers billing this code