#4423 of 11K

95983

HCPCS Procedure Code

HCPCS code 95983 is the #4,423 most-billed Medicaid procedure code, with $599K in payments across 28K claims from 2018–2024. The national median cost per claim is $26.04.

Total Paid

$599K

0.00% of all spending

Total Claims

28K

Providers

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 95983? Based on 16 providers billing this code nationally.

Median

$26.04

Average

$28.77

Std Dev

$17.41

Max

$78.96

Percentile Distribution (Cost per Claim)

p10

$11.65

p25

$17.01

Median

$26.04

p75

$32.47

p90

$45.57

p95

$55.93

p99

$74.35

50% of providers bill between $17.01 and $32.47 per claim for this code.

90% bill between $11.65 and $45.57.

Top 1% bill above $74.35.

About This Procedure

HCPCS code 95983 was billed by 19 providers across 28K claims, totaling $599K in Medicaid payments from 2018–2024. This code was used for 5,431 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.04

Providers Billing

National Spending

$599K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95983

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1295211126	$185K	$29.91	1.1× median	Above Median
2	1023721065	$164K	$27.77	1.1× median	Above Median
3	1437668985	$130K	$17.91	0.7× median	Below Median
4	1235677477	$72K	$11.77	0.5× median	Below Median
5	1588389944	$20K	$15.71	0.6× median	Below Median
6	Stanford Health Care Stanford, CA · General Acute Care Hospital	$11K	$38.56	1.5× median	Above 75th
7	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$10K	$23.53	0.9× median	Below Median
8	State University Of Iowa Iowa City, IA · General Acute Care Hospital	$2K	$24.30	0.9× median	Below Median
9	1386238590	$2K	$11.54	0.4× median	Below Median
10	1477554814	$1K	$30.43	1.2× median	Above Median
11	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$948	$78.96	3.0× median	Top 1%
12	Regents Of The University Of California Sacramento, CA · General Acute Care Hospital	$579	$48.26	1.9× median	Top 10%
13	1437529245	$557	$42.88	1.6× median	Above 75th
14	1932126372	$388	$29.84	1.1× median	Above Median
15	University Of California Irvine Orange, CA · General Acute Care Hospital	$262	$17.44	0.7× median	Below Median
16	1730169905	$138	$11.51	0.4× median	Below Median
17	1013631878	$0	$0.00	0.0× median	Below Median
18	1396339339	$0	$0.00	0.0× median	Below Median
19	University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital	$0	$0.00	0.0× median	Below Median

Showing top 19 of 19 providers billing this code

Related Procedures

95990$817K 95992$265K 95991$219K 95984$191K 95976$180K

← All procedures Top providers →