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#4241 of 11K

92653

HCPCS Procedure Code

HCPCS code 92653 is the #4,241 most-billed Medicaid procedure code, with $720K in payments across 18K claims from 2018–2024. The national median cost per claim is $42.12.

Total Paid

$720K

0.00% of all spending

Total Claims

18K

Providers

90

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 92653? Based on 84 providers billing this code nationally.

Median

$42.12

Average

$41.03

Std Dev

$28.71

Max

$132.65

Percentile Distribution (Cost per Claim)

p10
$5.93
p25
$12.79
Median
$42.12
p75
$60.66
p90
$74.37
p95
$79.88
p99
$110.73

50% of providers bill between $12.79 and $60.66 per claim for this code.

90% bill between $5.93 and $74.37.

Top 1% bill above $110.73.

About This Procedure

HCPCS code 92653 was billed by 90 providers across 18K claims, totaling $720K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.12

Providers Billing

84

National Spending

$720K

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92653

#ProviderTotal Paid
11093733594$122K
21952402612$74K
31568455525$58K
41407519556$57K
51124079769$48K
61720151145$48K
71063557726$27K
81386091486$25K
9New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$16K
101841484235$14K
111568456317$12K
121437278157$11K
131033548581$11K
141215488085$11K
15Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$10K
161558455089$9K
171356925960$9K
181982213484$9K
191679617971$8K
201720553902$7K

Showing top 20 of 90 providers billing this code