#3826 of 11K

93248

HCPCS Procedure Code

HCPCS code 93248 is the #3,826 most-billed Medicaid procedure code, with $1.1M in payments across 69K claims from 2018–2024. The national median cost per claim is $14.63.

Total Paid

$1.1M

0.00% of all spending

Total Claims

69K

Providers

301

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 93248? Based on 295 providers billing this code nationally.

Median

$14.63

Average

$15.49

Std Dev

$11.40

Max

$126.39

Percentile Distribution (Cost per Claim)

p10

$6.55

p25

$10.69

Median

$14.63

p75

$18.71

p90

$22.82

p95

$27.51

p99

$37.67

50% of providers bill between $10.69 and $18.71 per claim for this code.

90% bill between $6.55 and $22.82.

Top 1% bill above $37.67.

About This Procedure

HCPCS code 93248 was billed by 301 providers across 69K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 67K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.63

Providers Billing

295

National Spending

$1.1M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93248

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$57K	$13.38	0.9× median	Below Median
2	1164512851	$56K	$35.06	2.4× median	Top 10%
3	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$55K	$78.50	5.4× median	Top 1%
4	Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery	$48K	$20.86	1.4× median	Above 75th
5	Montefiore Medical Center Bronx, NY · Anesthesiology	$44K	$23.57	1.6× median	Top 10%
6	1841554151	$43K	$28.23	1.9× median	Top 10%
7	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$39K	$16.09	1.1× median	Above Median
8	1437292927	$33K	$18.79	1.3× median	Above 75th
9	1376709535	$32K	$15.69	1.1× median	Above Median
10	1386619344	$30K	$15.76	1.1× median	Above Median
11	Wake Forest University Health Sciences Winston Salem, NC · Clinic/Center, Multi-Specialty	$30K	$14.02	1.0× median	Below Median
12	Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology	$26K	$16.41	1.1× median	Above Median
13	1861441537	$22K	$20.97	1.4× median	Above 75th
14	1245533918	$19K	$13.68	0.9× median	Below Median
15	1538324645	$19K	$18.63	1.3× median	Above Median
16	1336573393	$18K	$14.31	1.0× median	Below Median
17	1235107566	$16K	$15.25	1.0× median	Above Median
18	1922126077	$14K	$21.15	1.4× median	Above 75th
19	1952340911	$14K	$13.82	0.9× median	Below Median
20	1457833485	$13K	$22.92	1.6× median	Top 10%

Showing top 20 of 301 providers billing this code

Related Procedures

93243$17.4M 93247$15.8M 93245$4.7M 93246$1.6M 93242$1.5M

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