#4337 of 11K

92612

HCPCS Procedure Code

HCPCS code 92612 is the #4,337 most-billed Medicaid procedure code, with $653K in payments across 5,871 claims from 2018–2024. The national median cost per claim is $98.45.

Total Paid

$653K

0.00% of all spending

Total Claims

5,871

Providers

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for 92612? Based on 23 providers billing this code nationally.

Median

$98.45

Average

$106.05

Std Dev

$37.79

Max

$190.40

Percentile Distribution (Cost per Claim)

p10

$65.46

p25

$86.79

Median

$98.45

p75

$131.09

p90

$142.56

p95

$178.11

p99

$188.55

50% of providers bill between $86.79 and $131.09 per claim for this code.

90% bill between $65.46 and $142.56.

Top 1% bill above $188.55.

About This Procedure

HCPCS code 92612 was billed by 23 providers across 5,871 claims, totaling $653K in Medicaid payments from 2018–2024. This code was used for 5,542 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.45

Providers Billing

National Spending

$653K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92612

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1124079769	$129K	$127.08	1.3× median	Above Median
2	Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery	$76K	$135.81	1.4× median	Above 75th
3	1376598326	$74K	$181.97	1.8× median	Top 10%
4	1679509962	$64K	$89.15	0.9× median	Below Median
5	Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital	$53K	$113.41	1.2× median	Above Median
6	1003044876	$50K	$135.09	1.4× median	Above 75th
7	1083821714	$44K	$94.01	1.0× median	Below Median
8	1427536325	$42K	$65.08	0.7× median	Below Median
9	1992124978	$36K	$98.45	1.0× median	Below Median
10	1437292927	$22K	$91.44	0.9× median	Below Median
11	Stanford Health Care Stanford, CA · General Acute Care Hospital	$16K	$119.71	1.2× median	Above Median
12	1508968751	$9K	$89.50	0.9× median	Below Median
13	Regents Of The University Of California San Diego, CA · General Acute Care Hospital	$8K	$106.65	1.1× median	Above Median
14	1619935251	$7K	$83.30	0.8× median	Below Median
15	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$5K	$84.43	0.9× median	Below Median
16	Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care	$5K	$190.40	1.9× median	Top 1%
17	1275583205	$5K	$139.20	1.4× median	Above 75th
18	1285630202	$2K	$143.41	1.5× median	Top 10%
19	1053795187	$2K	$108.86	1.1× median	Above Median
20	1376795369	$1K	$91.55	0.9× median	Below Median

Showing top 20 of 23 providers billing this code

Related Procedures

92609$39.3M 92610Evaluation of swallowing function$19.9M 92611$12.6M 92607$5.2M 92606$2.6M

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