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#6168 of 11K

92520

HCPCS Procedure Code

HCPCS code 92520 is the #6,168 most-billed Medicaid procedure code, with $88K in payments across 3K claims from 2018–2024. The national median cost per claim is $43.48.

Total Paid

$88K

0.00% of all spending

Total Claims

3K

Providers

21

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 92520? Based on 17 providers billing this code nationally.

Median

$43.48

Average

$46.80

Std Dev

$26.39

Max

$92.50

Percentile Distribution (Cost per Claim)

p10
$18.97
p25
$22.53
Median
$43.48
p75
$70.61
p90
$81.99
p95
$85.09
p99
$91.02

50% of providers bill between $22.53 and $70.61 per claim for this code.

90% bill between $18.97 and $81.99.

Top 1% bill above $91.02.

About This Procedure

HCPCS code 92520 was billed by 21 providers across 3K claims, totaling $88K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.48

Providers Billing

17

National Spending

$88K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92520

#ProviderTotal Paid
11538407176$32K
21124079769$16K
31245251222$10K
41639480973$6K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$4K
6University Of Rochester

Rochester, NY · General Acute Care Hospital

$4K
71043815848$3K
8Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$3K
91679660617$2K
10City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$2K
11Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$2K
121003044876$999
131639495054$897
141861654352$817
151609847367$698
16University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$648
171679509962$352
181376820605$0
191235898305$0
201437531084$0

Showing top 20 of 21 providers billing this code