#3325 of 11K

92591

HCPCS Procedure Code

HCPCS code 92591 is the #3,325 most-billed Medicaid procedure code, with $1.9M in payments across 49K claims from 2018–2024. The national median cost per claim is $36.39. Costs vary widely — the 90th percentile is $73.18 per claim, 2.0× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

49K

Providers

151

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 92591? Based on 146 providers billing this code nationally.

Median

$36.39

Average

$43.17

Std Dev

$27.02

Max

$194.22

Percentile Distribution (Cost per Claim)

p10

$14.96

p25

$31.67

Median

$36.39

p75

$52.58

p90

$73.18

p95

$91.00

p99

$130.61

50% of providers bill between $31.67 and $52.58 per claim for this code.

90% bill between $14.96 and $73.18.

Top 1% bill above $130.61.

About This Procedure

HCPCS code 92591 was billed by 151 providers across 49K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.39

Providers Billing

146

National Spending

$1.9M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92591

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1336352269	$231K	$34.62	1.0× median	Below Median
2	1194886747	$142K	$96.78	2.7× median	Top 10%
3	1538457957	$118K	$27.85	0.8× median	Below Median
4	District Medical Group, Inc Phoenix, AZ · Anesthesiology	$109K	$78.01	2.1× median	Top 10%
5	1336605757	$82K	$34.94	1.0× median	Below Median
6	1013352046	$67K	$52.14	1.4× median	Above Median
7	1245302629	$61K	$81.52	2.2× median	Top 10%
8	1952746265	$61K	$54.94	1.5× median	Above 75th
9	1932137023	$55K	$25.59	0.7× median	Below Median
10	1023179587	$46K	$120.47	3.3× median	Top 10%
11	1225355860	$46K	$27.39	0.8× median	Below Median
12	Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital	$43K	$138.68	3.8× median	Top 1%
13	1689601130	$42K	$41.47	1.1× median	Above Median
14	1629151782	$40K	$33.00	0.9× median	Below Median
15	1194136424	$39K	$32.71	0.9× median	Below Median
16	1962400036	$38K	$35.31	1.0× median	Below Median
17	1891845335	$32K	$48.02	1.3× median	Above Median
18	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$29K	$30.97	0.9× median	Below Median
19	1316238595	$25K	$36.35	1.0× median	Below Median
20	1669872453	$25K	$47.93	1.3× median	Above Median

Showing top 20 of 151 providers billing this code

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