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#2210 of 11K

92546

HCPCS Procedure Code

HCPCS code 92546 is the #2,210 most-billed Medicaid procedure code, with $7.9M in payments across 136K claims from 2018–2024. The national median cost per claim is $52.33.

Total Paid

$7.9M

0.00% of all spending

Total Claims

136K

Providers

244

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 92546? Based on 230 providers billing this code nationally.

Median

$52.33

Average

$54.60

Std Dev

$45.06

Max

$543.83

Percentile Distribution (Cost per Claim)

p10
$11.76
p25
$25.99
Median
$52.33
p75
$75.93
p90
$92.61
p95
$103.68
p99
$125.62

50% of providers bill between $25.99 and $75.93 per claim for this code.

90% bill between $11.76 and $92.61.

Top 1% bill above $125.62.

About This Procedure

HCPCS code 92546 was billed by 244 providers across 136K claims, totaling $7.9M in Medicaid payments from 2018–2024. This code was used for 111K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.33

Providers Billing

230

National Spending

$7.9M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92546

#ProviderTotal Paid
11659849040$1.7M
21275916652$732K
31225622889$315K
41033548581$294K
51609861244$240K
61164594149$213K
7New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$159K
81013334234$149K
91568455525$144K
101598941577$139K
111457731242$139K
121013259084$131K
131043497571$130K
141174606438$127K
151558356741$124K
161245350958$113K
171174537948$113K
181841484235$113K
191831517002$107K
201447596945$101K

Showing top 20 of 244 providers billing this code