90653
HCPCS Procedure Code
HCPCS code 90653 is the #4,045 most-billed Medicaid procedure code, with $900K in payments across 84K claims from 2018–2024. The national median cost per claim is $6.85. Costs vary widely — the 90th percentile is $41.79 per claim, 6.1× the median.
Total Paid
$900K
0.00% of all spending
Total Claims
84K
Providers
1K
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 90653? Based on 540 providers billing this code nationally.
Median
$6.85
Average
$14.98
Std Dev
$20.93
Max
$161.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.49 and $18.51 per claim for this code.
90% bill between $0.64 and $41.79.
Top 1% bill above $91.35.
About This Procedure
HCPCS code 90653 was billed by 1K providers across 84K claims, totaling $900K in Medicaid payments from 2018–2024. This code was used for 78K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.85
Providers Billing
540
National Spending
$900K
Avg/Median Ratio
2.19×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90653
| # | Provider | Total Paid |
|---|---|---|
| 1 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $116K |
| 2 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $114K |
| 3 | 1295181477 | $32K |
| 4 | Permanente Medical Group Inc Santa Clara, CA · Anesthesiology | $31K |
| 5 | Homeland Health Specialists Inc Minneapolis, MN · Registered Nurse, Community Health | $29K |
| 6 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $27K |
| 7 | 1831133693 | $25K |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $25K |
| 9 | Permanente Medical Group Inc Vallejo, CA · Anesthesiology | $20K |
| 10 | 1841373800 | $17K |
| 11 | 1639252604 | $15K |
| 12 | 1740570696 | $14K |
| 13 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $11K |
| 14 | 1548234073 | $10K |
| 15 | 1669523759 | $10K |
| 16 | 1760965586 | $9K |
| 17 | Jamaica Hospital Richmond Hill, NY · General Acute Care Hospital | $9K |
| 18 | 1013102326 | $9K |
| 19 | 1831592211 | $8K |
| 20 | Medstar Medical Group Ii Llc Baltimore, MD · General Practice | $8K |
Showing top 20 of 1K providers billing this code