#4372 of 11K

87592

HCPCS Procedure Code

HCPCS code 87592 is the #4,372 most-billed Medicaid procedure code, with $631K in payments across 57K claims from 2018–2024. The national median cost per claim is $15.89. Costs vary widely — the 90th percentile is $36.89 per claim, 2.3× the median.

Total Paid

$631K

0.00% of all spending

Total Claims

57K

Providers

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 87592? Based on 29 providers billing this code nationally.

Median

$15.89

Average

$18.65

Std Dev

$13.65

Max

$48.08

Percentile Distribution (Cost per Claim)

p10

$2.27

p25

$9.65

Median

$15.89

p75

$27.98

p90

$36.89

p95

$44.36

p99

$47.71

50% of providers bill between $9.65 and $27.98 per claim for this code.

90% bill between $2.27 and $36.89.

Top 1% bill above $47.71.

About This Procedure

HCPCS code 87592 was billed by 35 providers across 57K claims, totaling $631K in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.89

Providers Billing

National Spending

$631K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87592

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory	$314K	$20.63	1.3× median	Above Median
2	1790781110	$67K	$15.28	1.0× median	Below Median
3	1164775862	$57K	$40.73	2.6× median	Top 10%
4	1811226749	$49K	$30.57	1.9× median	Above 75th
5	1376598714	$29K	$28.76	1.8× median	Above 75th
6	1922099811	$26K	$24.24	1.5× median	Above Median
7	1073776860	$17K	$11.20	0.7× median	Below Median
8	1174131437	$14K	$33.64	2.1× median	Above 75th
9	1235533779	$11K	$10.10	0.6× median	Below Median
10	1073023487	$11K	$13.97	0.9× median	Below Median
11	1447272372	$10K	$35.93	2.3× median	Above 75th
12	1265478291	$8K	$0.32	0.0× median	Below Median
13	1609921378	$4K	$20.71	1.3× median	Above Median
14	1275971707	$3K	$9.65	0.6× median	Below Median
15	Alameda Health System Oakland, CA · General Acute Care Hospital	$3K	$46.77	2.9× median	Top 10%
16	1639375561	$2K	$26.85	1.7× median	Above Median
17	1437261211	$1K	$48.08	3.0× median	Top 1%
18	1558808204	$999	$2.32	0.1× median	Below Median
19	1841079670	$588	$15.89	1.0× median	Above Median
20	1710057872	$568	$2.47	0.2× median	Below Median

Showing top 20 of 35 providers billing this code

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