#1705 of 11K

93247

HCPCS Procedure Code

HCPCS code 93247 is the #1,705 most-billed Medicaid procedure code, with $15.8M in payments across 207K claims from 2018–2024. The national median cost per claim is $47.93. Costs vary widely — the 90th percentile is $187.26 per claim, 3.9× the median.

Total Paid

$15.8M

0.00% of all spending

Total Claims

207K

Providers

Avg Cost/Claim

$76

National Cost Distribution

How much do providers bill per claim for 93247? Based on 48 providers billing this code nationally.

Median

$47.93

Average

$77.95

Std Dev

$68.58

Max

$240.48

Percentile Distribution (Cost per Claim)

p10

$3.77

p25

$22.73

Median

$47.93

p75

$127.79

p90

$187.26

p95

$194.99

p99

$221.34

50% of providers bill between $22.73 and $127.79 per claim for this code.

90% bill between $3.77 and $187.26.

Top 1% bill above $221.34.

About This Procedure

HCPCS code 93247 was billed by 50 providers across 207K claims, totaling $15.8M in Medicaid payments from 2018–2024. This code was used for 197K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.93

Providers Billing

National Spending

$15.8M

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93247

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1710130539	$9.7M	$72.18	1.5× median	Above Median
2	1790869402	$4.2M	$185.40	3.9× median	Above 75th
3	1063414258	$498K	$25.01	0.5× median	Below Median
4	1477214906	$228K	$37.18	0.8× median	Below Median
5	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$202K	$107.23	2.2× median	Above Median
6	1932697729	$133K	$24.55	0.5× median	Below Median
7	1467442749	$113K	$157.02	3.3× median	Above 75th
8	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$93K	$165.10	3.4× median	Above 75th
9	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$76K	$161.42	3.4× median	Above 75th
10	1255761664	$76K	$74.04	1.5× median	Above Median
11	1588664940	$62K	$138.57	2.9× median	Above 75th
12	New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine	$60K	$199.75	4.2× median	Top 10%
13	New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine	$44K	$173.49	3.6× median	Above 75th
14	Alameda Health System Oakland, CA · General Acute Care Hospital	$39K	$122.17	2.5× median	Above Median
15	Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital	$32K	$98.25	2.0× median	Above Median
16	1912683814	$30K	$23.12	0.5× median	Below Median
17	New York City Health And Hospitals Corporation New York, NY · Internal Medicine	$27K	$137.81	2.9× median	Above 75th
18	1255367843	$20K	$37.15	0.8× median	Below Median
19	1467440743	$18K	$40.39	0.8× median	Below Median
20	County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator	$17K	$6.40	0.1× median	Below Median

Showing top 20 of 50 providers billing this code

Related Procedures

93243$17.4M 93245$4.7M 93246$1.6M 93242$1.5M 93248$1.1M

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