#2021 of 11K

25600

HCPCS Procedure Code

HCPCS code 25600 is the #2,021 most-billed Medicaid procedure code, with $10.0M in payments across 51K claims from 2018–2024. The national median cost per claim is $193.19. Costs vary widely — the 90th percentile is $411.59 per claim, 2.1× the median.

Total Paid

$10.0M

0.00% of all spending

Total Claims

51K

Providers

181

Avg Cost/Claim

$197

National Cost Distribution

How much do providers bill per claim for 25600? Based on 177 providers billing this code nationally.

Median

$193.19

Average

$225.97

Std Dev

$124.90

Max

$783.31

Percentile Distribution (Cost per Claim)

p10

$89.44

p25

$147.42

Median

$193.19

p75

$290.78

p90

$411.59

p95

$441.62

p99

$567.73

50% of providers bill between $147.42 and $290.78 per claim for this code.

90% bill between $89.44 and $411.59.

Top 1% bill above $567.73.

About This Procedure

HCPCS code 25600 was billed by 181 providers across 51K claims, totaling $10.0M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$193.19

Providers Billing

177

National Spending

$10.0M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 25600

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$987K	$358.87	1.9× median	Above 75th
2	1841573870	$700K	$372.76	1.9× median	Above 75th
3	1942300918	$620K	$69.31	0.4× median	Below Median
4	Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children	$575K	$454.19	2.4× median	Top 10%
5	Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner	$517K	$423.22	2.2× median	Top 10%
6	1073827101	$455K	$183.60	1.0× median	Below Median
7	1992848857	$397K	$436.31	2.3× median	Top 10%
8	1508264938	$370K	$386.65	2.0× median	Above 75th
9	1720036809	$248K	$275.96	1.4× median	Above Median
10	1437555265	$236K	$89.55	0.5× median	Below Median
11	Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical	$234K	$605.61	3.1× median	Top 1%
12	1407898299	$232K	$257.56	1.3× median	Above Median
13	1083738637	$227K	$252.18	1.3× median	Above Median
14	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$222K	$305.70	1.6× median	Above 75th
15	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$168K	$176.93	0.9× median	Below Median
16	Phoenix Children's Hospital Phoenix, AZ · Pediatrics	$163K	$333.80	1.7× median	Above 75th
17	1386786838	$158K	$390.99	2.0× median	Above 75th
18	1598193625	$152K	$161.41	0.8× median	Below Median
19	1073943163	$146K	$346.01	1.8× median	Above 75th
20	1528017654	$144K	$364.14	1.9× median	Above 75th

Showing top 20 of 181 providers billing this code

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