96523
HCPCS Procedure Code
HCPCS code 96523 is the #2,182 most-billed Medicaid procedure code, with $8.1M in payments across 275K claims from 2018–2024. The national median cost per claim is $19.90. Costs vary widely — the 90th percentile is $56.21 per claim, 2.8× the median.
Total Paid
$8.1M
0.00% of all spending
Total Claims
275K
Providers
469
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 96523? Based on 452 providers billing this code nationally.
Median
$19.90
Average
$28.26
Std Dev
$28.95
Max
$259.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.49 and $36.48 per claim for this code.
90% bill between $4.77 and $56.21.
Top 1% bill above $146.70.
About This Procedure
HCPCS code 96523 was billed by 469 providers across 275K claims, totaling $8.1M in Medicaid payments from 2018–2024. This code was used for 192K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.90
Providers Billing
452
National Spending
$8.1M
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96523
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $313K |
| 2 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $303K |
| 3 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $276K |
| 4 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $268K |
| 5 | 1699756221 | $241K |
| 6 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $238K |
| 7 | 1376624981 | $233K |
| 8 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $160K |
| 9 | 1982604021 | $144K |
| 10 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $140K |
| 11 | 1679660617 | $135K |
| 12 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $127K |
| 13 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $122K |
| 14 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $121K |
| 15 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $112K |
| 16 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $111K |
| 17 | 1053373480 | $104K |
| 18 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $101K |
| 19 | 1104859131 | $99K |
| 20 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $98K |
Showing top 20 of 469 providers billing this code