59820
HCPCS Procedure Code
HCPCS code 59820 is the #4,589 most-billed Medicaid procedure code, with $500K in payments across 557 claims from 2018–2024. The national median cost per claim is $806.02. Costs vary widely — the 90th percentile is $1,916.70 per claim, 2.4× the median.
Total Paid
$500K
0.00% of all spending
Total Claims
557
Providers
14
Avg Cost/Claim
$898
National Cost Distribution
How much do providers bill per claim for 59820? Based on 14 providers billing this code nationally.
Median
$806.02
Average
$920.29
Std Dev
$670.43
Max
$2,480.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $548.91 and $996.97 per claim for this code.
90% bill between $363.12 and $1,916.70.
Top 1% bill above $2,455.63.
About This Procedure
HCPCS code 59820 was billed by 14 providers across 557 claims, totaling $500K in Medicaid payments from 2018–2024. This code was used for 546 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$806.02
Providers Billing
14
National Spending
$500K
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 59820
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1609983790 | $89K |
| 2 | 1346213469 | $83K |
| 3 | 1164848453 | $82K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $62K |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $59K |
| 6 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $49K |
| 7 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $14K |
| 8 | 1184847410 | $13K |
| 9 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $11K |
| 10 | Kadlec Regional Medical Center Richland, WA · General Acute Care Hospital | $11K |
| 11 | 1407877137 | $11K |
| 12 | 1194832949 | $7K |
| 13 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $5K |
| 14 | 1184991390 | $3K |
Showing top 14 of 14 providers billing this code