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#3341 of 11K

92537

HCPCS Procedure Code

HCPCS code 92537 is the #3,341 most-billed Medicaid procedure code, with $1.9M in payments across 85K claims from 2018–2024. The national median cost per claim is $24.39.

Total Paid

$1.9M

0.00% of all spending

Total Claims

85K

Providers

193

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 92537? Based on 185 providers billing this code nationally.

Median

$24.39

Average

$24.62

Std Dev

$18.64

Max

$145.74

Percentile Distribution (Cost per Claim)

p10
$6.68
p25
$14.00
Median
$24.39
p75
$30.53
p90
$33.90
p95
$39.59
p99
$106.68

50% of providers bill between $14.00 and $30.53 per claim for this code.

90% bill between $6.68 and $33.90.

Top 1% bill above $106.68.

About This Procedure

HCPCS code 92537 was billed by 193 providers across 85K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 83K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.39

Providers Billing

185

National Spending

$1.9M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92537

#ProviderTotal Paid
11275916652$293K
21033548581$99K
31558356741$92K
41275647851$79K
51609861244$73K
61174606438$59K
7New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$58K
81457731242$52K
91568455525$48K
101013334234$45K
111598941577$44K
121013259084$43K
131669407185$38K
141174537948$36K
151912037102$34K
161144399098$34K
171184766107$32K
181447596945$31K
191831517002$31K
201740324508$30K

Showing top 20 of 193 providers billing this code