#1600 of 11K

99382

Preventive visit, new patient, early childhood (1-4 yr)

Preventive visit, new patient, early childhood (1-4 yr) is the #1,600 most-billed Medicaid procedure code, with $18.0M in payments across 288K claims from 2018–2024. The national median cost per claim is $79.89.

Total Paid

$18.0M

0.00% of all spending

Total Claims

288K

Providers

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for 99382? Based on 2K providers billing this code nationally.

Median

$79.89

Average

$76.46

Std Dev

$45.37

Max

$462.48

Percentile Distribution (Cost per Claim)

p10

$16.16

p25

$50.78

Median

$79.89

p75

$96.17

p90

$116.95

p95

$142.94

p99

$224.69

50% of providers bill between $50.78 and $96.17 per claim for this code.

90% bill between $16.16 and $116.95.

Top 1% bill above $224.69.

About This Procedure

HCPCS code 99382 (Preventive visit, new patient, early childhood (1-4 yr)) was billed by 2K providers across 288K claims, totaling $18.0M in Medicaid payments from 2018–2024. This code was used for 262K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.89

Providers Billing

National Spending

$18.0M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99382

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Barrio Comprehensive Family Health Care Center, Inc. San Antonio, TX · Clinic/Center, Multi-Specialty	$441K	$96.69	1.2× median	Above 75th
2	Topcare Medical Group Inc Dallas, TX · Pediatrics	$419K	$80.68	1.0× median	Above Median
3	1881742575	$290K	$81.01	1.0× median	Above Median
4	Legacy Community Health Services, Inc Houston, TX · Pediatrics	$280K	$102.58	1.3× median	Above 75th
5	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$261K	$135.26	1.7× median	Top 10%
6	1558452730	$256K	$103.42	1.3× median	Above 75th
7	El Centro Del Barrio, Inc. San Antonio, TX · Clinic/Center, Federally Qualified Health Center (FQHC)	$237K	$79.78	1.0× median	Below Median
8	1790839405	$229K	$91.07	1.1× median	Above Median
9	1124162854	$211K	$126.88	1.6× median	Top 10%
10	The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities	$207K	$60.00	0.8× median	Below Median
11	1902099104	$200K	$142.59	1.8× median	Top 10%
12	Community Care Health Network Llc Nashville, TN · Nurse Practitioner	$190K	$279.28	3.5× median	Top 1%
13	The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital	$185K	$195.73	2.5× median	Top 10%
14	1821288606	$182K	$87.47	1.1× median	Above Median
15	1124078019	$177K	$454.19	5.7× median	Top 1%
16	1306954631	$153K	$85.42	1.1× median	Above Median
17	1699812099	$148K	$107.94	1.4× median	Above 75th
18	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$144K	$59.14	0.7× median	Below Median
19	1619923919	$141K	$51.14	0.6× median	Below Median
20	1083778617	$137K	$91.52	1.1× median	Above Median

Showing top 20 of 2K providers billing this code

Related Procedures

99392Preventive medicine, established patient, age 1-4$2.73B 99391Preventive medicine, established patient, infant (under 1)$2.47B 99381Preventive visit, new patient, infant (<1 yr)$111.3M 99385Preventive visit, new patient, 18-39 yr$65.0M 99383Preventive visit, new patient, late childhood (5-11 yr)$47.1M

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