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#2515 of 11K

92607

HCPCS Procedure Code

HCPCS code 92607 is the #2,515 most-billed Medicaid procedure code, with $5.2M in payments across 19K claims from 2018–2024. The national median cost per claim is $89.89. Costs vary widely — the 90th percentile is $387.43 per claim, 4.3× the median.

Total Paid

$5.2M

0.00% of all spending

Total Claims

19K

Providers

30

Avg Cost/Claim

$271

National Cost Distribution

How much do providers bill per claim for 92607? Based on 30 providers billing this code nationally.

Median

$89.89

Average

$204.31

Std Dev

$312.95

Max

$1,353.78

Percentile Distribution (Cost per Claim)

p10
$27.14
p25
$65.65
Median
$89.89
p75
$213.78
p90
$387.43
p95
$882.52
p99
$1,309.52

50% of providers bill between $65.65 and $213.78 per claim for this code.

90% bill between $27.14 and $387.43.

Top 1% bill above $1,309.52.

About This Procedure

HCPCS code 92607 was billed by 30 providers across 19K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.89

Providers Billing

30

National Spending

$5.2M

Avg/Median Ratio

2.27×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 92607

#ProviderTotal Paid
11316163884$1.5M
21972659399$1.4M
31609541283$992K
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$650K
51598180143$195K
61033395769$104K
7Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$79K
8District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$57K
9University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$43K
10Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$23K
11Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$21K
121326295312$20K
13Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$18K
14Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$18K
151982943353$12K
161730194432$9K
17Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$8K
181780600825$7K
19Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$7K
20Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$7K

Showing top 20 of 30 providers billing this code