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#5328 of 11K

64555

HCPCS Procedure Code

HCPCS code 64555 is the #5,328 most-billed Medicaid procedure code, with $228K in payments across 291 claims from 2018–2024. The national median cost per claim is $248.11. Costs vary widely — the 90th percentile is $3,465.98 per claim, 14.0× the median.

Total Paid

$228K

0.00% of all spending

Total Claims

291

Providers

6

Avg Cost/Claim

$782

National Cost Distribution

How much do providers bill per claim for 64555? Based on 3 providers billing this code nationally.

Median

$248.11

Average

$1,547.60

Std Dev

$2,358.87

Max

$4,270.44

Percentile Distribution (Cost per Claim)

p10
$149.01
p25
$186.17
Median
$248.11
p75
$2,259.28
p90
$3,465.98
p95
$3,868.21
p99
$4,190.00

50% of providers bill between $186.17 and $2,259.28 per claim for this code.

90% bill between $149.01 and $3,465.98.

Top 1% bill above $4,190.00.

About This Procedure

HCPCS code 64555 was billed by 6 providers across 291 claims, totaling $228K in Medicaid payments from 2018–2024. This code was used for 237 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$248.11

Providers Billing

3

National Spending

$228K

Avg/Median Ratio

6.24×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 64555

#ProviderTotal Paid
1Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$214K
21033495221$9K
31467917435$5K
41114013315$0
51538481080$0
61932824331$0

Showing top 6 of 6 providers billing this code

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