95956
HCPCS Procedure Code
HCPCS code 95956 is the #3,559 most-billed Medicaid procedure code, with $1.5M in payments across 2,994 claims from 2018–2024. The national median cost per claim is $531.79. Costs vary widely — the 90th percentile is $1,161.27 per claim, 2.2× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
2,994
Providers
10
Avg Cost/Claim
$504
National Cost Distribution
How much do providers bill per claim for 95956? Based on 10 providers billing this code nationally.
Median
$531.79
Average
$603.88
Std Dev
$394.42
Max
$1,238.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $338.36 and $887.09 per claim for this code.
90% bill between $150.59 and $1,161.27.
Top 1% bill above $1,231.01.
About This Procedure
HCPCS code 95956 was billed by 10 providers across 2,994 claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 1,351 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$531.79
Providers Billing
10
National Spending
$1.5M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95956
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225056252 | $659K |
| 2 | 1881146413 | $338K |
| 3 | 1265803829 | $264K |
| 4 | 1801843396 | $112K |
| 5 | 1437117074 | $59K |
| 6 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $31K |
| 7 | 1255736724 | $25K |
| 8 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $10K |
| 9 | 1255683447 | $7K |
| 10 | 1760860167 | $5K |
Showing top 10 of 10 providers billing this code