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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $103K |
| 2 | 1629241807 | $21K |
| 3 | North Shore-lij Medical Pc Great Neck, NY · Urology | $16K |
| 4 | 1316938921 | $10K |
| 5 | 1386923985 | $9K |
| 6 | 1154361475 | $6K |
| 7 | 1124588793 | $5K |
| 8 | 1306089206 | $5K |
| 9 | 1265524821 | $1K |
| 10 | 1306819438 | $1K |
| 11 | 1346573599 | $1K |
| 12 | 1982813424 | $1K |
| 13 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $1K |
| 14 | 1144292707 | $947 |
| 15 | 1891011359 | $557 |
| 16 | 1114282605 | $301 |
Showing top 16 of 16 providers billing this code