#378 of 11K

59400

Routine obstetric care, vaginal delivery, including postpartum

Routine obstetric care, vaginal delivery, including postpartum is the #378 most-billed Medicaid procedure code, with $295.2M in payments across 178K claims from 2018–2024. The national median cost per claim is $1,482.45.

Total Paid

$295.2M

0.03% of all spending

Total Claims

178K

Providers

670

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 59400? Based on 642 providers billing this code nationally.

Median

$1,482.45

Average

$1,557.09

Std Dev

$826.96

Max

$12,110.43

Percentile Distribution (Cost per Claim)

p10

$838.12

p25

$1,145.33

Median

$1,482.45

p75

$1,908.28

p90

$2,222.71

p95

$2,607.40

p99

$3,767.39

50% of providers bill between $1,145.33 and $1,908.28 per claim for this code.

90% bill between $838.12 and $2,222.71.

Top 1% bill above $3,767.39.

About This Procedure

HCPCS code 59400 (Routine obstetric care, vaginal delivery, including postpartum) was billed by 670 providers across 178K claims, totaling $295.2M in Medicaid payments from 2018–2024. This code was used for 161K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,482.45

Providers Billing

642

National Spending

$295.2M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 59400

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1669470019	$15.2M	$4,206.03	2.8× median	Top 1%
2	1730294257	$11.5M	$2,080.04	1.4× median	Above 75th
3	1063480218	$8.9M	$3,237.89	2.2× median	Top 10%
4	1205955135	$8.7M	$2,306.63	1.6× median	Top 10%
5	1467586792	$7.5M	$2,884.25	1.9× median	Top 10%
6	1639160401	$7.2M	$2,715.52	1.8× median	Top 10%
7	1184780355	$6.3M	$2,044.83	1.4× median	Above 75th
8	1912211475	$5.2M	$3,191.95	2.2× median	Top 10%
9	1003811381	$5.1M	$1,646.31	1.1× median	Above Median
10	1417432659	$4.7M	$2,113.67	1.4× median	Above 75th
11	1447200977	$4.6M	$2,003.29	1.4× median	Above 75th
12	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$4.4M	$2,044.91	1.4× median	Above 75th
13	1235290628	$4.4M	$2,224.23	1.5× median	Top 10%
14	Brockton Neighborhood Health Center Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC)	$4.0M	$2,116.95	1.4× median	Above 75th
15	1861579336	$3.7M	$2,115.49	1.4× median	Above 75th
16	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$3.5M	$954.28	0.6× median	Below Median
17	1669708582	$3.4M	$2,184.62	1.5× median	Above 75th
18	1104901438	$3.4M	$1,795.02	1.2× median	Above Median
19	1659455137	$3.2M	$1,889.07	1.3× median	Above Median
20	1093090342	$3.2M	$1,348.03	0.9× median	Below Median

Showing top 20 of 670 providers billing this code

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59409Vaginal delivery only$412.7M 59410$55.0M

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