#2725 of 11K

95924

HCPCS Procedure Code

HCPCS code 95924 is the #2,725 most-billed Medicaid procedure code, with $4.0M in payments across 59K claims from 2018–2024. The national median cost per claim is $63.41.

Total Paid

$4.0M

0.00% of all spending

Total Claims

59K

Providers

219

Avg Cost/Claim

$67

National Cost Distribution

How much do providers bill per claim for 95924? Based on 203 providers billing this code nationally.

Median

$63.41

Average

$67.32

Std Dev

$48.22

Max

$362.42

Percentile Distribution (Cost per Claim)

p10

$9.76

p25

$31.61

Median

$63.41

p75

$96.00

p90

$122.34

p95

$136.75

p99

$199.58

50% of providers bill between $31.61 and $96.00 per claim for this code.

90% bill between $9.76 and $122.34.

Top 1% bill above $199.58.

About This Procedure

HCPCS code 95924 was billed by 219 providers across 59K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.41

Providers Billing

203

National Spending

$4.0M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95924

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1508297854	$436K	$64.46	1.0× median	Above Median
2	1366871378	$282K	$123.07	1.9× median	Top 10%
3	1326360082	$230K	$51.33	0.8× median	Below Median
4	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$147K	$115.31	1.8× median	Above 75th
5	1730813510	$142K	$93.03	1.5× median	Above Median
6	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$109K	$234.99	3.7× median	Top 1%
7	1104254572	$98K	$61.37	1.0× median	Below Median
8	University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital	$89K	$362.42	5.7× median	Top 1%
9	1689835563	$88K	$96.44	1.5× median	Above 75th
10	1568538510	$86K	$111.38	1.8× median	Above 75th
11	1154636397	$78K	$43.90	0.7× median	Below Median
12	1407260557	$77K	$111.28	1.8× median	Above 75th
13	1669407185	$69K	$98.45	1.6× median	Above 75th
14	1003529934	$67K	$116.01	1.8× median	Above 75th
15	1053547901	$66K	$130.61	2.1× median	Top 10%
16	1366689697	$61K	$110.95	1.7× median	Above 75th
17	1558630020	$60K	$165.77	2.6× median	Top 10%
18	1558740282	$59K	$53.10	0.8× median	Below Median
19	1396180618	$57K	$49.23	0.8× median	Below Median
20	1730352972	$52K	$85.29	1.3× median	Above Median

Showing top 20 of 219 providers billing this code

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