#2971 of 11K

95953

HCPCS Procedure Code

HCPCS code 95953 is the #2,971 most-billed Medicaid procedure code, with $2.9M in payments across 10K claims from 2018–2024. The national median cost per claim is $192.26. Costs vary widely — the 90th percentile is $568.24 per claim, 3.0× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

10K

Providers

Avg Cost/Claim

$286

National Cost Distribution

How much do providers bill per claim for 95953? Based on 68 providers billing this code nationally.

Median

$192.26

Average

$268.35

Std Dev

$210.42

Max

$1,011.52

Percentile Distribution (Cost per Claim)

p10

$77.16

p25

$125.44

Median

$192.26

p75

$336.92

p90

$568.24

p95

$712.79

p99

$848.51

50% of providers bill between $125.44 and $336.92 per claim for this code.

90% bill between $77.16 and $568.24.

Top 1% bill above $848.51.

About This Procedure

HCPCS code 95953 was billed by 68 providers across 10K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 5,367 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$192.26

Providers Billing

National Spending

$2.9M

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95953

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Children's Hospital Corporation Boston, MA · Clinic/Center	$570K	$768.22	4.0× median	Top 10%
2	Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital	$384K	$683.21	3.6× median	Top 10%
3	1689019259	$204K	$295.51	1.5× median	Above Median
4	1659387975	$159K	$715.72	3.7× median	Top 10%
5	1417446691	$139K	$160.84	0.8× median	Below Median
6	1497052518	$129K	$275.95	1.4× median	Above Median
7	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$106K	$353.33	1.8× median	Above 75th
8	1801843396	$93K	$199.04	1.0× median	Above Median
9	1558895276	$81K	$252.45	1.3× median	Above Median
10	Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital	$70K	$264.41	1.4× median	Above Median
11	1013047042	$64K	$165.11	0.9× median	Below Median
12	1811064520	$55K	$367.14	1.9× median	Above 75th
13	1184706616	$48K	$235.00	1.2× median	Above Median
14	1952469710	$47K	$134.95	0.7× median	Below Median
15	1851333454	$47K	$177.44	0.9× median	Below Median
16	1326100215	$46K	$271.71	1.4× median	Above Median
17	1043405574	$44K	$142.21	0.7× median	Below Median
18	Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology	$33K	$331.63	1.7× median	Above Median
19	1407107550	$33K	$308.03	1.6× median	Above Median
20	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$28K	$1,011.52	5.3× median	Top 1%

Showing top 20 of 68 providers billing this code

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