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#282 of 11K

0659

Revenue code, clinic services

Revenue code, clinic services is the #282 most-billed Medicaid procedure code, with $500.8M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $421.95. Costs vary widely — the 90th percentile is $4,816.70 per claim, 11.4× the median.

Total Paid

$500.8M

0.05% of all spending

Total Claims

1.4M

Providers

360

Avg Cost/Claim

$357

National Cost Distribution

How much do providers bill per claim for 0659? Based on 357 providers billing this code nationally.

Median

$421.95

Average

$1,463.73

Std Dev

$1,863.29

Max

$7,471.44

Percentile Distribution (Cost per Claim)

p10
$204.96
p25
$242.56
Median
$421.95
p75
$2,249.82
p90
$4,816.70
p95
$5,361.66
p99
$6,152.16

50% of providers bill between $242.56 and $2,249.82 per claim for this code.

90% bill between $204.96 and $4,816.70.

Top 1% bill above $6,152.16.

About This Procedure

HCPCS code 0659 (Revenue code, clinic services) was billed by 360 providers across 1.4M claims, totaling $500.8M in Medicaid payments from 2018–2024. This code was used for 105K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$421.95

Providers Billing

357

National Spending

$500.8M

Avg/Median Ratio

3.47×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0659

#ProviderTotal Paid
11871589911$22.0M
21487051348$12.5M
31376970707$10.1M
41891718649$9.9M
51811311863$9.3M
6Jml Hospice, Inc.

Van Nuys, CA · Hospice Care, Community Based

$8.4M
71821498544$8.3M
81245690494$8.0M
91316388812$7.4M
101538168950$6.9M
111245383165$6.5M
121154671808$6.2M
131386074128$6.1M
141053850529$6.1M
151235560947$6.0M
161720630874$6.0M
171992935563$5.7M
181902239395$5.6M
191033740758$5.3M
201437539301$5.2M

Showing top 20 of 360 providers billing this code