#2663 of 11K

64644

HCPCS Procedure Code

HCPCS code 64644 is the #2,663 most-billed Medicaid procedure code, with $4.3M in payments across 40K claims from 2018–2024. The national median cost per claim is $54.92. Costs vary widely — the 90th percentile is $237.43 per claim, 4.3× the median.

Total Paid

$4.3M

0.00% of all spending

Total Claims

40K

Providers

139

Avg Cost/Claim

$108

National Cost Distribution

How much do providers bill per claim for 64644? Based on 138 providers billing this code nationally.

Median

$54.92

Average

$116.96

Std Dev

$204.84

Max

$1,948.55

Percentile Distribution (Cost per Claim)

p10

$28.59

p25

$35.71

Median

$54.92

p75

$133.54

p90

$237.43

p95

$334.62

p99

$915.69

50% of providers bill between $35.71 and $133.54 per claim for this code.

90% bill between $28.59 and $237.43.

Top 1% bill above $915.69.

About This Procedure

HCPCS code 64644 was billed by 139 providers across 40K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.92

Providers Billing

138

National Spending

$4.3M

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 64644

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rhode Island Hospital Providence, RI · General Acute Care Hospital	$721K	$1,092.92	19.9× median	Top 1%
2	1841349792	$318K	$290.31	5.3× median	Top 10%
3	1518911767	$286K	$613.91	11.2× median	Top 10%
4	1780600825	$279K	$122.91	2.2× median	Above Median
5	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$236K	$59.96	1.1× median	Above Median
6	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$212K	$460.69	8.4× median	Top 10%
7	North Carolina Baptist Hospital Winston Salem, NC · General Acute Care Hospital	$161K	$137.09	2.5× median	Above 75th
8	1083708226	$146K	$210.15	3.8× median	Above 75th
9	University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital	$136K	$73.80	1.3× median	Above Median
10	1932126372	$100K	$111.76	2.0× median	Above Median
11	Wake Forest University Health Sciences Winston Salem, NC · Clinic/Center, Multi-Specialty	$92K	$70.13	1.3× median	Above Median
12	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$89K	$292.40	5.3× median	Top 10%
13	1508804105	$87K	$39.42	0.7× median	Below Median
14	1114932548	$75K	$143.96	2.6× median	Above 75th
15	1629356431	$68K	$37.79	0.7× median	Below Median
16	1275107344	$66K	$116.67	2.1× median	Above Median
17	1518913656	$65K	$54.16	1.0× median	Below Median
18	1740613371	$65K	$178.65	3.3× median	Above 75th
19	1508819228	$54K	$91.60	1.7× median	Above Median
20	1699720086	$54K	$28.62	0.5× median	Below Median

Showing top 20 of 139 providers billing this code

Related Procedures

64635$88.5M 64636$34.4M 64642$22.7M 64643$16.0M 64634$4.2M

← All procedures Top providers →