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#3506 of 11K

93246

HCPCS Procedure Code

HCPCS code 93246 is the #3,506 most-billed Medicaid procedure code, with $1.6M in payments across 63K claims from 2018–2024. The national median cost per claim is $12.84. Costs vary widely — the 90th percentile is $61.60 per claim, 4.8× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

63K

Providers

279

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 93246? Based on 272 providers billing this code nationally.

Median

$12.84

Average

$26.23

Std Dev

$40.33

Max

$473.26

Percentile Distribution (Cost per Claim)

p10
$4.62
p25
$7.00
Median
$12.84
p75
$31.43
p90
$61.60
p95
$80.13
p99
$145.85

50% of providers bill between $7.00 and $31.43 per claim for this code.

90% bill between $4.62 and $61.60.

Top 1% bill above $145.85.

About This Procedure

HCPCS code 93246 was billed by 279 providers across 63K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.84

Providers Billing

272

National Spending

$1.6M

Avg/Median Ratio

2.04×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93246

#ProviderTotal Paid
1The Queens Medical Center

Honolulu, HI · Psychiatric Unit

$102K
2Stanford Health Care

Stanford, CA · General Acute Care Hospital

$95K
3Rochester General Hospital

Rochester, NY · Dentist, General Practice

$81K
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$75K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$66K
6Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$57K
7Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$56K
81306845557$53K
9The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$53K
101770693939$52K
111306914213$40K
121538244918$34K
13Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$29K
14Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$27K
151487904546$27K
16New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$26K
17University Of Washington

Seattle, WA · Clinic/Center, Dental

$23K
181407887003$20K
191619914785$20K
201356307581$20K

Showing top 20 of 279 providers billing this code