0190
HCPCS Procedure Code
HCPCS code 0190 is the #1,754 most-billed Medicaid procedure code, with $14.6M in payments across 5K claims from 2018–2024. The national median cost per claim is $3,701.37.
Total Paid
$14.6M
0.00% of all spending
Total Claims
5K
Providers
12
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for 0190? Based on 9 providers billing this code nationally.
Median
$3,701.37
Average
$4,378.66
Std Dev
$3,146.48
Max
$11,468.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,216.67 and $5,753.12 per claim for this code.
90% bill between $1,632.78 and $7,150.96.
Top 1% bill above $11,036.98.
About This Procedure
HCPCS code 0190 was billed by 12 providers across 5K claims, totaling $14.6M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3,701.37
Providers Billing
9
National Spending
$14.6M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0190
| # | Provider | Total Paid |
|---|---|---|
| 1 | Tahoe Forest Hospital District Truckee, CA · Skilled Nursing Facility | $4.9M |
| 2 | 1689062838 | $3.5M |
| 3 | 1053748830 | $1.6M |
| 4 | 1588091383 | $1.2M |
| 5 | 1598221863 | $1.2M |
| 6 | 1265453914 | $1.1M |
| 7 | 1841342334 | $956K |
| 8 | 1801938816 | $92K |
| 9 | 1164563276 | $27K |
| 10 | 1972622371 | $0 |
| 11 | 1477672665 | $0 |
| 12 | 1699839993 | $0 |
Showing top 12 of 12 providers billing this code