Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1336 of 11K

93886

HCPCS Procedure Code

HCPCS code 93886 is the #1,336 most-billed Medicaid procedure code, with $26.8M in payments across 218K claims from 2018–2024. The national median cost per claim is $83.25. Costs vary widely — the 90th percentile is $225.44 per claim, 2.7× the median.

Total Paid

$26.8M

0.00% of all spending

Total Claims

218K

Providers

513

Avg Cost/Claim

$123

National Cost Distribution

How much do providers bill per claim for 93886? Based on 495 providers billing this code nationally.

Median

$83.25

Average

$110.01

Std Dev

$101.79

Max

$849.99

Percentile Distribution (Cost per Claim)

p10
$14.53
p25
$35.56
Median
$83.25
p75
$163.53
p90
$225.44
p95
$251.01
p99
$476.78

50% of providers bill between $35.56 and $163.53 per claim for this code.

90% bill between $14.53 and $225.44.

Top 1% bill above $476.78.

About This Procedure

HCPCS code 93886 was billed by 513 providers across 218K claims, totaling $26.8M in Medicaid payments from 2018–2024. This code was used for 208K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$83.25

Providers Billing

495

National Spending

$26.8M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93886

#ProviderTotal Paid
11275916652$1.7M
21174537948$1.7M
31164594149$1.4M
41659849040$1.2M
5New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$850K
61851702971$614K
71730292541$613K
8Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$564K
91144399098$473K
101619977030$450K
111255983730$449K
121124589338$424K
131609110295$372K
141649306218$355K
151265507271$345K
161003076886$334K
171043497571$330K
181538120985$315K
191447596945$302K
201831517002$301K

Showing top 20 of 513 providers billing this code