Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4838 of 11K

27786

HCPCS Procedure Code

HCPCS code 27786 is the #4,838 most-billed Medicaid procedure code, with $381K in payments across 4,147 claims from 2018–2024. The national median cost per claim is $201.24.

Total Paid

$381K

0.00% of all spending

Total Claims

4,147

Providers

16

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for 27786? Based on 15 providers billing this code nationally.

Median

$201.24

Average

$221.90

Std Dev

$135.48

Max

$467.29

Percentile Distribution (Cost per Claim)

p10
$57.95
p25
$143.84
Median
$201.24
p75
$322.26
p90
$383.70
p95
$423.19
p99
$458.47

50% of providers bill between $143.84 and $322.26 per claim for this code.

90% bill between $57.95 and $383.70.

Top 1% bill above $458.47.

About This Procedure

HCPCS code 27786 was billed by 16 providers across 4,147 claims, totaling $381K in Medicaid payments from 2018–2024. This code was used for 3,022 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$201.24

Providers Billing

15

National Spending

$381K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 27786

#ProviderTotal Paid
11942300918$196K
21689632374$41K
3Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$32K
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$25K
5Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$23K
6The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$16K
71841299039$13K
81073827101$9K
91841421096$8K
10Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$6K
111598798597$5K
121598193625$3K
131922578822$2K
141689738981$2K
151669617197$7
161720271513$0

Showing top 16 of 16 providers billing this code