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#567 of 11K

90887

Interpretation/explanation of results

Interpretation/explanation of results is the #567 most-billed Medicaid procedure code, with $144.0M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $47.55. Costs vary widely — the 90th percentile is $103.80 per claim, 2.2× the median.

Total Paid

$144.0M

0.01% of all spending

Total Claims

2.1M

Providers

701

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for 90887? Based on 673 providers billing this code nationally.

Median

$47.55

Average

$63.13

Std Dev

$58.04

Max

$481.15

Percentile Distribution (Cost per Claim)

p10
$25.13
p25
$37.42
Median
$47.55
p75
$68.22
p90
$103.80
p95
$160.46
p99
$336.89

50% of providers bill between $37.42 and $68.22 per claim for this code.

90% bill between $25.13 and $103.80.

Top 1% bill above $336.89.

About This Procedure

HCPCS code 90887 (Interpretation/explanation of results) was billed by 701 providers across 2.1M claims, totaling $144.0M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.55

Providers Billing

673

National Spending

$144.0M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90887

#ProviderTotal Paid
1Mountain Comprehensive Care Center, Inc.

Prestonsburg, KY · Counselor, Mental Health

$21.9M
2Seven Counties Services, Inc.

Louisville, KY · Counselor

$10.3M
3Cumberland River Behavioral Health Inc

Corbin, KY · Community/Behavioral Health

$7.3M
41982615043$5.7M
51528017142$5.6M
61629350434$5.1M
7Justice Resource Institute Inc

Acton, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$4.6M
81548715964$4.5M
9The Home For Little Wanderers

Roslindale, MA · Clinic/Center Adolescent and Children Mental Health

$4.0M
101518434083$3.1M
111578527610$2.5M
121700910965$2.5M
131023096864$2.3M
14Child & Family Services Inc.

New Bedford, MA · Counselor Mental Health

$2.2M
15Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$2.2M
161366796070$1.9M
171912412172$1.9M
18Youth Opportunities Upheld Inc.

Worcester, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$1.8M
19Behavioral Health Network Inc

Springfield, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$1.5M
201770528317$1.5M

Showing top 20 of 701 providers billing this code