#3652 of 11K

92595

HCPCS Procedure Code

HCPCS code 92595 is the #3,652 most-billed Medicaid procedure code, with $1.4M in payments across 35K claims from 2018–2024. The national median cost per claim is $39.17.

Total Paid

$1.4M

0.00% of all spending

Total Claims

35K

Providers

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 92595? Based on 68 providers billing this code nationally.

Median

$39.17

Average

$40.77

Std Dev

$23.94

Max

$103.84

Percentile Distribution (Cost per Claim)

p10

$10.51

p25

$24.76

Median

$39.17

p75

$53.24

p90

$75.82

p95

$81.57

p99

$95.16

50% of providers bill between $24.76 and $53.24 per claim for this code.

90% bill between $10.51 and $75.82.

Top 1% bill above $95.16.

About This Procedure

HCPCS code 92595 was billed by 72 providers across 35K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.17

Providers Billing

National Spending

$1.4M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92595

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1538457957	$187K	$76.86	2.0× median	Top 10%
2	1013932557	$177K	$42.64	1.1× median	Above Median
3	1235463498	$125K	$63.22	1.6× median	Above 75th
4	1679615439	$88K	$42.28	1.1× median	Above Median
5	District Medical Group, Inc Phoenix, AZ · Anesthesiology	$77K	$36.79	0.9× median	Below Median
6	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$64K	$53.44	1.4× median	Above 75th
7	1548316011	$46K	$61.11	1.6× median	Above 75th
8	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$46K	$90.88	2.3× median	Top 10%
9	1659300499	$43K	$50.87	1.3× median	Above Median
10	1932129848	$41K	$37.09	0.9× median	Below Median
11	1639101751	$39K	$29.37	0.7× median	Below Median
12	Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry	$34K	$103.84	2.7× median	Top 1%
13	1003985755	$33K	$53.17	1.4× median	Above Median
14	Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical	$31K	$29.45	0.8× median	Below Median
15	1164559456	$30K	$34.98	0.9× median	Below Median
16	Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology	$30K	$23.79	0.6× median	Below Median
17	1194886747	$26K	$48.05	1.2× median	Above Median
18	1235234535	$25K	$14.55	0.4× median	Below Median
19	1376637272	$21K	$42.68	1.1× median	Above Median
20	1114932548	$20K	$39.50	1.0× median	Above Median

Showing top 20 of 72 providers billing this code

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