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#760 of 11K

85610

Prothrombin time (PT) blood clotting test

Prothrombin time (PT) blood clotting test is the #760 most-billed Medicaid procedure code, with $87.2M in payments across 35.1M claims from 2018–2024. The national median cost per claim is $2.14. Costs vary widely — the 90th percentile is $4.98 per claim, 2.3× the median.

Total Paid

$87.2M

0.01% of all spending

Total Claims

35.1M

Providers

6,307

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 85610? Based on 5,870 providers billing this code nationally.

Median

$2.14

Average

$3.58

Std Dev

$9.86

Max

$283.79

Percentile Distribution (Cost per Claim)

p10
$0.27
p25
$0.90
Median
$2.14
p75
$3.46
p90
$4.98
p95
$9.78
p99
$36.44

50% of providers bill between $0.90 and $3.46 per claim for this code.

90% bill between $0.27 and $4.98.

Top 1% bill above $36.44.

About This Procedure

HCPCS code 85610 (Prothrombin time (PT) blood clotting test) was billed by 6,307 providers across 35.1M claims, totaling $87.2M in Medicaid payments from 2018–2024. This code was used for 26.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.14

Providers Billing

5,870

National Spending

$87.2M

Avg/Median Ratio

1.67×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 85610

#ProviderTotal Paid
11114367497$1.7M
2Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$1.2M
3Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$1.0M
4Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$808K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$804K
6The Miriam Hospital

Providence, RI · General Acute Care Hospital

$778K
7Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$733K
8Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$729K
9Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$677K
10Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$645K
111013332014$616K
121386643294$591K
13West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$573K
14Sharp Memorial Hospital

San Diego, CA · General Acute Care Hospital, Women

$517K
15Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$458K
16Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$453K
17Southeast Alaska Regional Health Consortium

Sitka, AK · Podiatrist

$424K
18Permanente Medical Group, Inc.

Richmond, CA · Clinical Medical Laboratory

$408K
19University Of Kentucky

Lexington, KY · General Acute Care Hospital

$380K
201649726738$378K

Showing top 20 of 6,307 providers billing this code