#3759 of 11K

58670

HCPCS Procedure Code

HCPCS code 58670 is the #3,759 most-billed Medicaid procedure code, with $1.2M in payments across 1K claims from 2018–2024. The national median cost per claim is $1,499.87.

Total Paid

$1.2M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 58670? Based on 18 providers billing this code nationally.

Median

$1,499.87

Average

$1,574.04

Std Dev

$1,290.59

Max

$4,343.94

Percentile Distribution (Cost per Claim)

p10

$164.06

p25

$280.90

Median

$1,499.87

p75

$2,578.88

p90

$2,933.30

p95

$3,488.50

p99

$4,172.85

50% of providers bill between $280.90 and $2,578.88 per claim for this code.

90% bill between $164.06 and $2,933.30.

Top 1% bill above $4,172.85.

About This Procedure

HCPCS code 58670 was billed by 19 providers across 1K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 909 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,499.87

Providers Billing

National Spending

$1.2M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 58670

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health	$344K	$2,549.34	1.7× median	Above Median
2	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$165K	$4,343.94	2.9× median	Top 1%
3	1669427258	$155K	$817.67	0.5× median	Below Median
4	1326022765	$150K	$2,588.73	1.7× median	Above 75th
5	Multicare Health System Tacoma, WA · Community/Behavioral Health	$108K	$2,399.01	1.6× median	Above Median
6	1275566200	$87K	$3,337.54	2.2× median	Top 10%
7	1679879589	$34K	$203.12	0.1× median	Below Median
8	Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital	$33K	$2,760.05	1.8× median	Above 75th
9	Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic	$31K	$2,612.62	1.7× median	Above 75th
10	1649223124	$25K	$1,582.60	1.1× median	Above Median
11	1083624670	$24K	$1,693.92	1.1× median	Above Median
12	1427360700	$18K	$1,055.20	0.7× median	Below Median
13	1770008922	$17K	$1,417.14	0.9× median	Below Median
14	1174955256	$11K	$229.33	0.2× median	Below Median
15	1962455964	$5K	$435.61	0.3× median	Below Median
16	Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech	$3K	$72.91	0.0× median	Below Median
17	1699728543	$3K	$225.46	0.2× median	Below Median
18	Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine	$1K	$8.60	0.0× median	Below Median
19	Orlando Health Inc. Orlando, FL · General Acute Care Hospital	$0	$0.00	0.0× median	Below Median

Showing top 19 of 19 providers billing this code

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