Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5812 of 11K

99447

HCPCS Procedure Code

HCPCS code 99447 is the #5,812 most-billed Medicaid procedure code, with $134K in payments across 35K claims from 2018–2024. The national median cost per claim is $9.30. Costs vary widely — the 90th percentile is $34.00 per claim, 3.7× the median.

Total Paid

$134K

0.00% of all spending

Total Claims

35K

Providers

135

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 99447? Based on 74 providers billing this code nationally.

Median

$9.30

Average

$15.87

Std Dev

$18.50

Max

$128.57

Percentile Distribution (Cost per Claim)

p10
$0.75
p25
$3.12
Median
$9.30
p75
$26.44
p90
$34.00
p95
$36.95
p99
$67.87

50% of providers bill between $3.12 and $26.44 per claim for this code.

90% bill between $0.75 and $34.00.

Top 1% bill above $67.87.

About This Procedure

HCPCS code 99447 was billed by 135 providers across 35K claims, totaling $134K in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.30

Providers Billing

74

National Spending

$134K

Avg/Median Ratio

1.71×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99447

#ProviderTotal Paid
11790787919$38K
2District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$15K
31275583205$13K
4Montefiore Medical Center

Bronx, NY · Anesthesiology

$12K
5Faculty Physicians And Surgeons Of Llusm

Redlands, CA · Pediatrics

$11K
6Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$6K
71508379017$5K
81861907321$5K
91013293182$4K
101417912114$3K
111366792988$3K
121578854667$1K
131396748950$1K
141447668199$1K
151164697124$1K
161659564987$922
17Goodwill Industries Of Northern New England

Portland, ME · Clinic/Center Rehabilitation Comprehensive Outpatient Rehabilitation Facility (CORF)

$770
181346225711$689
191326093675$682
201427035211$595

Showing top 20 of 135 providers billing this code