92563
HCPCS Procedure Code
HCPCS code 92563 is the #5,443 most-billed Medicaid procedure code, with $198K in payments across 18K claims from 2018–2024. The national median cost per claim is $13.40. Costs vary widely — the 90th percentile is $28.11 per claim, 2.1× the median.
Total Paid
$198K
0.00% of all spending
Total Claims
18K
Providers
47
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 92563? Based on 46 providers billing this code nationally.
Median
$13.40
Average
$13.84
Std Dev
$9.51
Max
$35.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.49 and $19.22 per claim for this code.
90% bill between $1.95 and $28.11.
Top 1% bill above $33.69.
About This Procedure
HCPCS code 92563 was billed by 47 providers across 18K claims, totaling $198K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.40
Providers Billing
46
National Spending
$198K
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92563
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275864449 | $29K |
| 2 | 1669597761 | $18K |
| 3 | 1720151145 | $16K |
| 4 | 1245553643 | $16K |
| 5 | The Brookdale Hospital Medical Center Brooklyn, NY · General Acute Care Hospital | $15K |
| 6 | 1831434497 | $11K |
| 7 | 1437106457 | $9K |
| 8 | 1871601153 | $8K |
| 9 | 1699915520 | $8K |
| 10 | 1326260498 | $8K |
| 11 | 1124079769 | $6K |
| 12 | 1205989183 | $6K |
| 13 | 1427010859 | $6K |
| 14 | 1508848532 | $5K |
| 15 | 1518429653 | $4K |
| 16 | 1144366568 | $4K |
| 17 | 1457643991 | $3K |
| 18 | 1770630337 | $3K |
| 19 | 1184916967 | $2K |
| 20 | 1720028772 | $2K |
Showing top 20 of 47 providers billing this code