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#300 of 11K

99239

Hospital discharge day management, more than 30 minutes

Hospital discharge day management, more than 30 minutes is the #300 most-billed Medicaid procedure code, with $464.1M in payments across 9.0M claims from 2018–2024. The national median cost per claim is $43.85.

Total Paid

$464.1M

0.04% of all spending

Total Claims

9.0M

Providers

9K

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for 99239? Based on 9K providers billing this code nationally.

Median

$43.85

Average

$49.78

Std Dev

$57.04

Max

$1,643.70

Percentile Distribution (Cost per Claim)

p10
$16.43
p25
$27.97
Median
$43.85
p75
$62.58
p90
$83.37
p95
$98.87
p99
$145.02

50% of providers bill between $27.97 and $62.58 per claim for this code.

90% bill between $16.43 and $83.37.

Top 1% bill above $145.02.

About This Procedure

HCPCS code 99239 (Hospital discharge day management, more than 30 minutes) was billed by 9K providers across 9.0M claims, totaling $464.1M in Medicaid payments from 2018–2024. This code was used for 8.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.85

Providers Billing

9K

National Spending

$464.1M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99239

#ProviderTotal Paid
11124374822$7.2M
21861627242$5.5M
3Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$3.6M
41083008072$3.4M
51841573870$2.6M
6Community Medical Associates, Inc.

Louisville, KY · Clinical Neuropsychologist

$2.6M
7Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$2.5M
81699157701$2.5M
9Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$2.5M
101952792475$2.4M
11County Of Riverside

Riverside, CA · Community/Behavioral Health

$2.4M
12Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$2.3M
131750343216$2.3M
14County Of San Diego

San Diego, CA · Public Health or Welfare

$2.3M
15Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$2.2M
16Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$2.1M
17Community Physicians Of Indiana Inc

Indianapolis, IN · Internal Medicine

$2.1M
181184663965$2.0M
19Not Found

Unknown, Unknown · Unknown

$1.9M
201023285756$1.9M

Showing top 20 of 9K providers billing this code