87556
HCPCS Procedure Code
HCPCS code 87556 is the #3,399 most-billed Medicaid procedure code, with $1.8M in payments across 128K claims from 2018–2024. The national median cost per claim is $9.43. Costs vary widely — the 90th percentile is $29.43 per claim, 3.1× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
128K
Providers
105
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 87556? Based on 97 providers billing this code nationally.
Median
$9.43
Average
$15.21
Std Dev
$23.47
Max
$217.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.09 and $20.81 per claim for this code.
90% bill between $1.46 and $29.43.
Top 1% bill above $50.89.
About This Procedure
HCPCS code 87556 was billed by 105 providers across 128K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 106K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.43
Providers Billing
97
National Spending
$1.8M
Avg/Median Ratio
1.61×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87556
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225316482 | $324K |
| 2 | 1033239413 | $253K |
| 3 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $250K |
| 4 | 1457977209 | $202K |
| 5 | 1154430148 | $174K |
| 6 | 1174009245 | $130K |
| 7 | Mako Medical Laboratories, Llc Raleigh, NC · Clinical Medical Laboratory | $66K |
| 8 | 1508326851 | $38K |
| 9 | 1992812473 | $26K |
| 10 | 1124049671 | $20K |
| 11 | 1427022649 | $18K |
| 12 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $17K |
| 13 | 1619488418 | $16K |
| 14 | 1467659060 | $16K |
| 15 | 1992215081 | $16K |
| 16 | 1174137368 | $15K |
| 17 | 1710347703 | $13K |
| 18 | 1144738543 | $13K |
| 19 | 1568868446 | $10K |
| 20 | 1023447935 | $9K |
Showing top 20 of 105 providers billing this code