97803
Medical nutrition therapy, reassessment, group, thirty minutes
Medical nutrition therapy, reassessment, group, thirty minutes is the #549 most-billed Medicaid procedure code, with $151.3M in payments across 5.8M claims from 2018–2024. The national median cost per claim is $24.33. Costs vary widely — the 90th percentile is $81.35 per claim, 3.3× the median.
Total Paid
$151.3M
0.01% of all spending
Total Claims
5.8M
Providers
4K
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 97803? Based on 3K providers billing this code nationally.
Median
$24.33
Average
$34.73
Std Dev
$43.10
Max
$719.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.12 and $49.69 per claim for this code.
90% bill between $0.44 and $81.35.
Top 1% bill above $185.30.
About This Procedure
HCPCS code 97803 (Medical nutrition therapy, reassessment, group, thirty minutes) was billed by 4K providers across 5.8M claims, totaling $151.3M in Medicaid payments from 2018–2024. This code was used for 4.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.33
Providers Billing
3K
National Spending
$151.3M
Avg/Median Ratio
1.43×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97803
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003011602 | $9.7M |
| 2 | 1851652739 | $4.8M |
| 3 | 1902299639 | $3.9M |
| 4 | 1083850226 | $2.5M |
| 5 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $2.1M |
| 6 | 1336245828 | $2.1M |
| 7 | Children's Hospital Corporation Boston, MA · Clinic/Center | $2.0M |
| 8 | Nv St Dv Mh Ds Desert Dev Center Las Vegas, NV · Respite Care Respite Care Intellectual and/or Developmental Disabilities Child | $1.8M |
| 9 | 1104935378 | $1.6M |
| 10 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.5M |
| 11 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.4M |
| 12 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $1.4M |
| 13 | 1154586253 | $1.3M |
| 14 | 1205928751 | $1.2M |
| 15 | 1164917282 | $1.1M |
| 16 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $1.1M |
| 17 | 1750884516 | $1.1M |
| 18 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $1.0M |
| 19 | 1962587964 | $1.0M |
| 20 | 1871935254 | $992K |
Showing top 20 of 4K providers billing this code