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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871589911 | $22.0M |
| 2 | 1487051348 | $12.5M |
| 3 | 1376970707 | $10.1M |
| 4 | 1891718649 | $9.9M |
| 5 | 1811311863 | $9.3M |
| 6 | Jml Hospice, Inc. Van Nuys, CA · Hospice Care, Community Based | $8.4M |
| 7 | 1821498544 | $8.3M |
| 8 | 1245690494 | $8.0M |
| 9 | 1316388812 | $7.4M |
| 10 | 1538168950 | $6.9M |
| 11 | 1245383165 | $6.5M |
| 12 | 1154671808 | $6.2M |
| 13 | 1386074128 | $6.1M |
| 14 | 1053850529 | $6.1M |
| 15 | 1235560947 | $6.0M |
| 16 | 1720630874 | $6.0M |
| 17 | 1992935563 | $5.7M |
| 18 | 1902239395 | $5.6M |
| 19 | 1033740758 | $5.3M |
| 20 | 1437539301 | $5.2M |
Showing top 20 of 360 providers billing this code