#3849 of 11K

93888

HCPCS Procedure Code

HCPCS code 93888 is the #3,849 most-billed Medicaid procedure code, with $1.1M in payments across 23K claims from 2018–2024. The national median cost per claim is $38.86. Costs vary widely — the 90th percentile is $103.04 per claim, 2.7× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

23K

Providers

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 93888? Based on 41 providers billing this code nationally.

Median

$38.86

Average

$62.49

Std Dev

$80.37

Max

$490.56

Percentile Distribution (Cost per Claim)

p10

$12.00

p25

$20.70

Median

$38.86

p75

$78.96

p90

$103.04

p95

$169.15

p99

$363.33

50% of providers bill between $20.70 and $78.96 per claim for this code.

90% bill between $12.00 and $103.04.

Top 1% bill above $363.33.

About This Procedure

HCPCS code 93888 was billed by 43 providers across 23K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.86

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.61×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93888

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1487868097	$145K	$490.56	12.6× median	Top 1%
2	1710194501	$114K	$78.16	2.0× median	Above Median
3	1649767013	$112K	$87.21	2.2× median	Above 75th
4	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$98K	$97.98	2.5× median	Above 75th
5	1912155110	$96K	$127.08	3.3× median	Top 10%
6	1588654016	$91K	$85.33	2.2× median	Above 75th
7	1740283324	$64K	$14.49	0.4× median	Below Median
8	1750896221	$44K	$65.74	1.7× median	Above Median
9	1972579365	$42K	$12.00	0.3× median	Below Median
10	1295802098	$38K	$26.85	0.7× median	Below Median
11	1326079096	$35K	$169.15	4.4× median	Top 10%
12	1275988321	$33K	$25.43	0.7× median	Below Median
13	1558688754	$31K	$67.16	1.7× median	Above Median
14	1639194921	$30K	$28.43	0.7× median	Below Median
15	1154373843	$24K	$172.49	4.4× median	Top 10%
16	1538178934	$13K	$80.22	2.1× median	Above 75th
17	1457619017	$12K	$23.58	0.6× median	Below Median
18	1760407068	$10K	$42.19	1.1× median	Above Median
19	1508942681	$9K	$15.22	0.4× median	Below Median
20	1780800128	$8K	$20.70	0.5× median	Below Median

Showing top 20 of 43 providers billing this code

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