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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114367497 | $1.7M |
| 2 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $1.2M |
| 3 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $1.0M |
| 4 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $808K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $804K |
| 6 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $778K |
| 7 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $733K |
| 8 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $729K |
| 9 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $677K |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $645K |
| 11 | 1013332014 | $616K |
| 12 | 1386643294 | $591K |
| 13 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $573K |
| 14 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $517K |
| 15 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $458K |
| 16 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $453K |
| 17 | Southeast Alaska Regional Health Consortium Sitka, AK · Podiatrist | $424K |
| 18 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $408K |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $380K |
| 20 | 1649726738 | $378K |
Showing top 20 of 6,307 providers billing this code