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#484 of 11K

92526

Treatment of swallowing dysfunction and/or oral function

Treatment of swallowing dysfunction and/or oral function is the #484 most-billed Medicaid procedure code, with $191.9M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $49.74.

Total Paid

$191.9M

0.02% of all spending

Total Claims

3.3M

Providers

2K

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 92526? Based on 1K providers billing this code nationally.

Median

$49.74

Average

$54.65

Std Dev

$41.11

Max

$637.52

Percentile Distribution (Cost per Claim)

p10
$11.88
p25
$32.70
Median
$49.74
p75
$67.96
p90
$96.69
p95
$121.39
p99
$163.68

50% of providers bill between $32.70 and $67.96 per claim for this code.

90% bill between $11.88 and $96.69.

Top 1% bill above $163.68.

About This Procedure

HCPCS code 92526 (Treatment of swallowing dysfunction and/or oral function) was billed by 2K providers across 3.3M claims, totaling $191.9M in Medicaid payments from 2018–2024. This code was used for 901K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.74

Providers Billing

1K

National Spending

$191.9M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92526

#ProviderTotal Paid
11205228343$8.3M
21306170576$4.7M
31265431977$4.0M
4Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$3.5M
51386889939$3.4M
61982943353$3.1M
7Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$3.0M
81083837157$2.8M
91689614927$2.7M
101336486448$2.7M
11Blythedale Children's Hospital

Valhalla, NY · Rehabilitation Hospital Children

$2.7M
121780270223$2.5M
131316464795$2.4M
141811150774$2.4M
151114315801$2.2M
161033527650$1.8M
171497959670$1.8M
18Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$1.8M
191801971502$1.8M
201790065845$1.8M

Showing top 20 of 2K providers billing this code