0507T
HCPCS Procedure Code
HCPCS code 0507T is the #7,936 most-billed Medicaid procedure code, with $8K in payments across 1,756 claims from 2018–2024. The national median cost per claim is $2.90. Costs vary widely — the 90th percentile is $29.38 per claim, 10.1× the median.
Total Paid
$8K
0.00% of all spending
Total Claims
1,756
Providers
9
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 0507T? Based on 5 providers billing this code nationally.
Median
$2.90
Average
$12.35
Std Dev
$15.10
Max
$32.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.05 and $24.46 per claim for this code.
90% bill between $0.82 and $29.38.
Top 1% bill above $32.33.
About This Procedure
HCPCS code 0507T was billed by 9 providers across 1,756 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 1,690 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.90
Providers Billing
5
National Spending
$8K
Avg/Median Ratio
4.26×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0507T
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982654901 | $4K |
| 2 | 1821048877 | $3K |
| 3 | 1558336412 | $756 |
| 4 | 1417907346 | $239 |
| 5 | 1487843280 | $110 |
| 6 | 1770533515 | $0 |
| 7 | 1255644811 | $0 |
| 8 | 1497776108 | $0 |
| 9 | 1801891031 | $0 |
Showing top 9 of 9 providers billing this code