64520
HCPCS Procedure Code
HCPCS code 64520 is the #4,084 most-billed Medicaid procedure code, with $864K in payments across 7,138 claims from 2018–2024. The national median cost per claim is $81.58. Costs vary widely — the 90th percentile is $364.61 per claim, 4.5× the median.
Total Paid
$864K
0.00% of all spending
Total Claims
7,138
Providers
20
Avg Cost/Claim
$121
National Cost Distribution
How much do providers bill per claim for 64520? Based on 19 providers billing this code nationally.
Median
$81.58
Average
$144.73
Std Dev
$161.64
Max
$611.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $41.57 and $187.57 per claim for this code.
90% bill between $18.23 and $364.61.
Top 1% bill above $581.65.
About This Procedure
HCPCS code 64520 was billed by 20 providers across 7,138 claims, totaling $864K in Medicaid payments from 2018–2024. This code was used for 5,528 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.58
Providers Billing
19
National Spending
$864K
Avg/Median Ratio
1.77×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64520
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487102208 | $319K |
| 2 | 1437309192 | $168K |
| 3 | 1457319485 | $111K |
| 4 | 1467418574 | $94K |
| 5 | 1700808466 | $75K |
| 6 | 1962403121 | $21K |
| 7 | 1578643607 | $20K |
| 8 | 1053361642 | $16K |
| 9 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $10K |
| 10 | 1366651242 | $9K |
| 11 | 1346878303 | $6K |
| 12 | 1043366818 | $5K |
| 13 | 1235300765 | $3K |
| 14 | 1760411052 | $2K |
| 15 | 1285283432 | $2K |
| 16 | 1821282666 | $1K |
| 17 | 1164664082 | $1K |
| 18 | 1225005085 | $622 |
| 19 | 1568636009 | $502 |
| 20 | 1740583095 | $0 |
Showing top 20 of 20 providers billing this code