#4623 of 11K

10120

HCPCS Procedure Code

HCPCS code 10120 is the #4,623 most-billed Medicaid procedure code, with $482K in payments across 5,822 claims from 2018–2024. The national median cost per claim is $89.15. Costs vary widely — the 90th percentile is $286.85 per claim, 3.2× the median.

Total Paid

$482K

0.00% of all spending

Total Claims

5,822

Providers

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for 10120? Based on 33 providers billing this code nationally.

Median

$89.15

Average

$125.52

Std Dev

$107.01

Max

$347.55

Percentile Distribution (Cost per Claim)

p10

$9.95

p25

$44.06

Median

$89.15

p75

$183.53

p90

$286.85

p95

$329.25

p99

$342.25

50% of providers bill between $44.06 and $183.53 per claim for this code.

90% bill between $9.95 and $286.85.

Top 1% bill above $342.25.

About This Procedure

HCPCS code 10120 was billed by 34 providers across 5,822 claims, totaling $482K in Medicaid payments from 2018–2024. This code was used for 5,060 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.15

Providers Billing

National Spending

$482K

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 10120

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1558452730	$151K	$148.00	1.7× median	Above Median
2	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$46K	$209.73	2.4× median	Above 75th
3	City Medical Of Upper East Side Pllc New York, NY · Clinic/Center Urgent Care	$45K	$71.10	0.8× median	Below Median
4	Parcare Community Health Network Inc Brooklyn, NY · Specialist	$35K	$328.09	3.7× median	Top 10%
5	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$19K	$170.23	1.9× median	Above Median
6	1982932463	$17K	$134.41	1.5× median	Above Median
7	1609981885	$17K	$9.08	0.1× median	Below Median
8	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$16K	$183.53	2.1× median	Above 75th
9	1295001576	$16K	$49.59	0.6× median	Below Median
10	1437774882	$15K	$331.01	3.7× median	Top 10%
11	1285680496	$14K	$72.30	0.8× median	Below Median
12	1598945032	$14K	$136.77	1.5× median	Above Median
13	Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner	$12K	$283.31	3.2× median	Above 75th
14	1205918802	$12K	$83.76	0.9× median	Below Median
15	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$11K	$270.25	3.0× median	Above 75th
16	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$7K	$209.98	2.4× median	Above 75th
17	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$6K	$175.29	2.0× median	Above Median
18	1871587691	$6K	$29.60	0.3× median	Below Median
19	Variety Children's Hospital Miami, FL · General Acute Care Hospital Children	$4K	$347.55	3.9× median	Top 1%
20	1144471715	$3K	$287.74	3.2× median	Top 10%

Showing top 20 of 34 providers billing this code

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