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#4654 of 11K

93656

HCPCS Procedure Code

HCPCS code 93656 is the #4,654 most-billed Medicaid procedure code, with $467K in payments across 98 claims from 2018–2024. The national median cost per claim is $2,382.42. Costs vary widely — the 90th percentile is $8,430.70 per claim, 3.5× the median.

Total Paid

$467K

0.00% of all spending

Total Claims

98

Providers

5

Avg Cost/Claim

$5K

National Cost Distribution

How much do providers bill per claim for 93656? Based on 5 providers billing this code nationally.

Median

$2,382.42

Average

$4,184.30

Std Dev

$3,887.89

Max

$8,622.17

Percentile Distribution (Cost per Claim)

p10
$842.41
p25
$1,108.30
Median
$2,382.42
p75
$8,143.49
p90
$8,430.70
p95
$8,526.43
p99
$8,603.02

50% of providers bill between $1,108.30 and $8,143.49 per claim for this code.

90% bill between $842.41 and $8,430.70.

Top 1% bill above $8,603.02.

About This Procedure

HCPCS code 93656 was billed by 5 providers across 98 claims, totaling $467K in Medicaid payments from 2018–2024. This code was used for 94 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,382.42

Providers Billing

5

National Spending

$467K

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93656

#ProviderTotal Paid
1Mainehealth

Portland, ME · Emergency Medicine

$259K
2Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$122K
3Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$62K
4Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$16K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$9K

Showing top 5 of 5 providers billing this code