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#1858 of 11K

92611

HCPCS Procedure Code

HCPCS code 92611 is the #1,858 most-billed Medicaid procedure code, with $12.6M in payments across 117K claims from 2018–2024. The national median cost per claim is $47.58. Costs vary widely — the 90th percentile is $142.46 per claim, 3.0× the median.

Total Paid

$12.6M

0.00% of all spending

Total Claims

117K

Providers

236

Avg Cost/Claim

$108

National Cost Distribution

How much do providers bill per claim for 92611? Based on 217 providers billing this code nationally.

Median

$47.58

Average

$70.52

Std Dev

$78.38

Max

$476.96

Percentile Distribution (Cost per Claim)

p10
$8.96
p25
$24.78
Median
$47.58
p75
$81.01
p90
$142.46
p95
$229.96
p99
$418.04

50% of providers bill between $24.78 and $81.01 per claim for this code.

90% bill between $8.96 and $142.46.

Top 1% bill above $418.04.

About This Procedure

HCPCS code 92611 was billed by 236 providers across 117K claims, totaling $12.6M in Medicaid payments from 2018–2024. This code was used for 109K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.58

Providers Billing

217

National Spending

$12.6M

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92611

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$2.2M
2Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.6M
3Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$1.6M
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$472K
5Children's Hospital Corporation

Boston, MA · Clinic/Center

$420K
6Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$404K
71689744450$400K
8Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$345K
9Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$258K
10University Of Kentucky

Lexington, KY · General Acute Care Hospital

$250K
11The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$212K
12The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$180K
13Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$171K
14Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$167K
15University Of Rochester

Rochester, NY · General Acute Care Hospital

$151K
16Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$149K
17Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$146K
18Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$145K
19Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$140K
201346297843$136K

Showing top 20 of 236 providers billing this code