46607
HCPCS Procedure Code
HCPCS code 46607 is the #2,892 most-billed Medicaid procedure code, with $3.1M in payments across 8,752 claims from 2018–2024. The national median cost per claim is $189.36. Costs vary widely — the 90th percentile is $697.78 per claim, 3.7× the median.
Total Paid
$3.1M
0.00% of all spending
Total Claims
8,752
Providers
25
Avg Cost/Claim
$355
National Cost Distribution
How much do providers bill per claim for 46607? Based on 23 providers billing this code nationally.
Median
$189.36
Average
$317.73
Std Dev
$266.17
Max
$812.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $92.52 and $544.37 per claim for this code.
90% bill between $46.41 and $697.78.
Top 1% bill above $805.87.
About This Procedure
HCPCS code 46607 was billed by 25 providers across 8,752 claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 7,859 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$189.36
Providers Billing
23
National Spending
$3.1M
Avg/Median Ratio
1.68×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 46607
| # | Provider | Total Paid |
|---|---|---|
| 1 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $722K |
| 2 | Mount Sinai Hospital New York, NY · Ambulance | $716K |
| 3 | 1689624686 | $611K |
| 4 | Montefiore Medical Center Bronx, NY · Anesthesiology | $343K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $160K |
| 6 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $113K |
| 7 | 1164512851 | $88K |
| 8 | 1477569838 | $83K |
| 9 | University Of Colorado Hospital Authority Aurora, CO · General Acute Care Hospital | $82K |
| 10 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $49K |
| 11 | 1306898432 | $31K |
| 12 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $29K |
| 13 | 1659639524 | $28K |
| 14 | University Physicians Incorporated Aurora, CO · Anesthesiology | $15K |
| 15 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $11K |
| 16 | 1063459568 | $10K |
| 17 | University Of Rochester Rochester, NY · General Acute Care Hospital | $8K |
| 18 | 1477582526 | $4K |
| 19 | 1982793410 | $3K |
| 20 | 1568439081 | $2K |
Showing top 20 of 25 providers billing this code