20560
HCPCS Procedure Code
HCPCS code 20560 is the #5,895 most-billed Medicaid procedure code, with $122K in payments across 12K claims from 2018–2024. The national median cost per claim is $12.63.
Total Paid
$122K
0.00% of all spending
Total Claims
12K
Providers
35
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 20560? Based on 28 providers billing this code nationally.
Median
$12.63
Average
$15.44
Std Dev
$21.74
Max
$119.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.72 and $17.18 per claim for this code.
90% bill between $1.05 and $20.25.
Top 1% bill above $96.08.
About This Procedure
HCPCS code 20560 was billed by 35 providers across 12K claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.63
Providers Billing
28
National Spending
$122K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 20560
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851831085 | $49K |
| 2 | District Hospital Partners L P Washington, DC · Nurse Practitioner, Family | $15K |
| 3 | 1851472914 | $10K |
| 4 | 1205217783 | $9K |
| 5 | 1861859878 | $7K |
| 6 | 1336245828 | $6K |
| 7 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $5K |
| 8 | 1528569316 | $3K |
| 9 | 1376104125 | $3K |
| 10 | 1922486745 | $3K |
| 11 | 1154797157 | $2K |
| 12 | 1467552471 | $2K |
| 13 | 1609419274 | $2K |
| 14 | 1376177956 | $1K |
| 15 | 1417903873 | $1K |
| 16 | 1215081518 | $1K |
| 17 | 1699721183 | $918 |
| 18 | 1215163431 | $731 |
| 19 | 1912596941 | $622 |
| 20 | 1982654190 | $402 |
Showing top 20 of 35 providers billing this code