#2846 of 11K

95250

HCPCS Procedure Code

HCPCS code 95250 is the #2,846 most-billed Medicaid procedure code, with $3.3M in payments across 45K claims from 2018–2024. The national median cost per claim is $59.66.

Total Paid

$3.3M

0.00% of all spending

Total Claims

45K

Providers

151

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for 95250? Based on 146 providers billing this code nationally.

Median

$59.66

Average

$60.92

Std Dev

$41.96

Max

$211.01

Percentile Distribution (Cost per Claim)

p10

$9.56

p25

$24.58

Median

$59.66

p75

$85.80

p90

$114.04

p95

$130.89

p99

$166.08

50% of providers bill between $24.58 and $85.80 per claim for this code.

90% bill between $9.56 and $114.04.

Top 1% bill above $166.08.

About This Procedure

HCPCS code 95250 was billed by 151 providers across 45K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 42K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.66

Providers Billing

146

National Spending

$3.3M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95250

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1689979569	$448K	$82.39	1.4× median	Above Median
2	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$385K	$211.01	3.5× median	Top 1%
3	1043680515	$179K	$75.08	1.3× median	Above Median
4	1891729141	$173K	$63.33	1.1× median	Above Median
5	1982721296	$165K	$66.56	1.1× median	Above Median
6	1811226749	$163K	$82.23	1.4× median	Above Median
7	1972528891	$115K	$109.20	1.8× median	Above 75th
8	1811125644	$112K	$76.49	1.3× median	Above Median
9	1407059199	$101K	$97.23	1.6× median	Above 75th
10	1750895835	$96K	$84.93	1.4× median	Above Median
11	1346379583	$87K	$115.36	1.9× median	Top 10%
12	1700827896	$83K	$66.58	1.1× median	Above Median
13	1013160217	$73K	$105.48	1.8× median	Above 75th
14	1619082625	$71K	$45.91	0.8× median	Below Median
15	1376647701	$68K	$84.04	1.4× median	Above Median
16	1992007819	$67K	$112.72	1.9× median	Above 75th
17	1003005893	$58K	$112.63	1.9× median	Above 75th
18	1578583951	$52K	$108.55	1.8× median	Above 75th
19	1952992752	$50K	$82.76	1.4× median	Above Median
20	1477674257	$49K	$108.37	1.8× median	Above 75th

Showing top 20 of 151 providers billing this code

Related Procedures

95251$13.1M 95249$103K

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