99308
Nursing facility care, subsequent, straightforward
Nursing facility care, subsequent, straightforward is the #265 most-billed Medicaid procedure code, with $536.4M in payments across 42.5M claims from 2018–2024. The national median cost per claim is $9.79. Costs vary widely — the 90th percentile is $28.45 per claim, 2.9× the median.
Total Paid
$536.4M
0.05% of all spending
Total Claims
42.5M
Providers
15K
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 99308? Based on 14K providers billing this code nationally.
Median
$9.79
Average
$13.54
Std Dev
$15.03
Max
$703.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.01 and $17.65 per claim for this code.
90% bill between $2.41 and $28.45.
Top 1% bill above $60.04.
About This Procedure
HCPCS code 99308 (Nursing facility care, subsequent, straightforward) was billed by 15K providers across 42.5M claims, totaling $536.4M in Medicaid payments from 2018–2024. This code was used for 24.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.79
Providers Billing
14K
National Spending
$536.4M
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99308
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669835310 | $5.9M |
| 2 | 1972912228 | $4.7M |
| 3 | 1740555267 | $4.6M |
| 4 | 1396999686 | $4.0M |
| 5 | Parcare Community Health Network Inc Brooklyn, NY · Specialist | $4.0M |
| 6 | 1043537046 | $3.8M |
| 7 | 1467765024 | $3.8M |
| 8 | 1588122535 | $3.8M |
| 9 | 1720440449 | $3.4M |
| 10 | Maryland Medical First P.a. Baltimore, MD · Internal Medicine | $3.2M |
| 11 | 1609362375 | $3.2M |
| 12 | 1447314075 | $3.0M |
| 13 | 1780056168 | $2.9M |
| 14 | 1518900620 | $2.9M |
| 15 | 1063848968 | $2.8M |
| 16 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $2.6M |
| 17 | 1689688335 | $2.6M |
| 18 | 1073171849 | $2.4M |
| 19 | 1528142759 | $2.3M |
| 20 | 1669422846 | $2.2M |
Showing top 20 of 15K providers billing this code