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#671 of 11K

96112

Developmental test administration

Developmental test administration is the #671 most-billed Medicaid procedure code, with $108.8M in payments across 786K claims from 2018–2024. The national median cost per claim is $102.95. Costs vary widely — the 90th percentile is $277.47 per claim, 2.7× the median.

Total Paid

$108.8M

0.01% of all spending

Total Claims

786K

Providers

1K

Avg Cost/Claim

$138

National Cost Distribution

How much do providers bill per claim for 96112? Based on 1K providers billing this code nationally.

Median

$102.95

Average

$134.69

Std Dev

$129.39

Max

$2,630.88

Percentile Distribution (Cost per Claim)

p10
$30.00
p25
$64.55
Median
$102.95
p75
$177.50
p90
$277.47
p95
$351.68
p99
$469.21

50% of providers bill between $64.55 and $177.50 per claim for this code.

90% bill between $30.00 and $277.47.

Top 1% bill above $469.21.

About This Procedure

HCPCS code 96112 (Developmental test administration) was billed by 1K providers across 786K claims, totaling $108.8M in Medicaid payments from 2018–2024. This code was used for 655K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$102.95

Providers Billing

1K

National Spending

$108.8M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96112

#ProviderTotal Paid
1Bilinguals Inc.

Forest Hills, NY · Early Intervention Provider Agency

$4.7M
21053854059$2.6M
31942359781$2.5M
41932343787$2.4M
51790943066$2.3M
61912131368$2.2M
71922048370$2.1M
81699821868$2.0M
91396068300$1.9M
101265676092$1.8M
111487916433$1.6M
12Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$1.6M
13Magella Medical Associates Billing, Inc.

Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine

$1.3M
141619120060$1.2M
151629221478$1.1M
161770727661$1.0M
171659529402$1.0M
181578717435$1.0M
191083850648$1.0M
201972784221$1.0M

Showing top 20 of 1K providers billing this code