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#5527 of 11K

56820

HCPCS Procedure Code

HCPCS code 56820 is the #5,527 most-billed Medicaid procedure code, with $182K in payments across 1,764 claims from 2018–2024. The national median cost per claim is $75.55.

Total Paid

$182K

0.00% of all spending

Total Claims

1,764

Providers

16

Avg Cost/Claim

$103

National Cost Distribution

How much do providers bill per claim for 56820? Based on 16 providers billing this code nationally.

Median

$75.55

Average

$76.24

Std Dev

$43.90

Max

$182.28

Percentile Distribution (Cost per Claim)

p10
$30.48
p25
$41.92
Median
$75.55
p75
$87.48
p90
$128.90
p95
$156.11
p99
$177.04

50% of providers bill between $41.92 and $87.48 per claim for this code.

90% bill between $30.48 and $128.90.

Top 1% bill above $177.04.

About This Procedure

HCPCS code 56820 was billed by 16 providers across 1,764 claims, totaling $182K in Medicaid payments from 2018–2024. This code was used for 1,458 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.55

Providers Billing

16

National Spending

$182K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 56820

#ProviderTotal Paid
1Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$103K
21629241807$21K
3North Shore-lij Medical Pc

Great Neck, NY · Urology

$16K
41316938921$10K
51386923985$9K
61154361475$6K
71124588793$5K
81306089206$5K
91265524821$1K
101306819438$1K
111346573599$1K
121982813424$1K
13Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$1K
141144292707$947
151891011359$557
161114282605$301

Showing top 16 of 16 providers billing this code

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