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#4114 of 11K

51900

HCPCS Procedure Code

HCPCS code 51900 is the #4,114 most-billed Medicaid procedure code, with $835K in payments across 3K claims from 2018–2024. The national median cost per claim is $277.53.

Total Paid

$835K

0.00% of all spending

Total Claims

3K

Providers

7

Avg Cost/Claim

$301

National Cost Distribution

How much do providers bill per claim for 51900? Based on 7 providers billing this code nationally.

Median

$277.53

Average

$317.41

Std Dev

$175.29

Max

$562.04

Percentile Distribution (Cost per Claim)

p10
$123.45
p25
$199.71
Median
$277.53
p75
$447.91
p90
$515.60
p95
$538.82
p99
$557.39

50% of providers bill between $199.71 and $447.91 per claim for this code.

90% bill between $123.45 and $515.60.

Top 1% bill above $557.39.

About This Procedure

HCPCS code 51900 was billed by 7 providers across 3K claims, totaling $835K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$277.53

Providers Billing

7

National Spending

$835K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 51900

#ProviderTotal Paid
1The Fort Defiance Indian Hospital Board, Incorporation

Fort Defiance, AZ · General Acute Care Hospital

$391K
21609851039$194K
3Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$109K
41578010070$67K
5Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$38K
6Santa Fe Indian Hospital

Santa Fe, NM · General Acute Care Hospital

$32K
71548372071$3K

Showing top 7 of 7 providers billing this code