99460
Initial hospital or birthing center care, newborn, per day
Initial hospital or birthing center care, newborn, per day is the #428 most-billed Medicaid procedure code, with $239.9M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $62.48.
Total Paid
$239.9M
0.02% of all spending
Total Claims
3.6M
Providers
4K
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 99460? Based on 4K providers billing this code nationally.
Median
$62.48
Average
$67.87
Std Dev
$125.58
Max
$6,031.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.40 and $78.25 per claim for this code.
90% bill between $37.88 and $90.90.
Top 1% bill above $154.31.
About This Procedure
HCPCS code 99460 (Initial hospital or birthing center care, newborn, per day) was billed by 4K providers across 3.6M claims, totaling $239.9M in Medicaid payments from 2018–2024. This code was used for 3.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.48
Providers Billing
4K
National Spending
$239.9M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99460
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649377359 | $12.0M |
| 2 | Magella Medical Associates Billing, Inc. Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine | $5.0M |
| 3 | 1609915784 | $3.1M |
| 4 | 1972695260 | $2.6M |
| 5 | 1508014895 | $2.6M |
| 6 | 1619987302 | $2.5M |
| 7 | 1467559179 | $2.4M |
| 8 | Texas Children's Physician Group Houston, TX · Pediatrics | $2.2M |
| 9 | 1083711790 | $2.1M |
| 10 | 1558468256 | $1.9M |
| 11 | 1841573870 | $1.8M |
| 12 | 1750384079 | $1.8M |
| 13 | North Shore-lij Medical Pc Great Neck, NY · Urology | $1.7M |
| 14 | 1225034234 | $1.6M |
| 15 | 1932197258 | $1.6M |
| 16 | Ut Physicians Houston, TX · Emergency Medicine | $1.6M |
| 17 | 1497852107 | $1.6M |
| 18 | 1992802607 | $1.6M |
| 19 | 1063419943 | $1.5M |
| 20 | 1699979732 | $1.5M |
Showing top 20 of 4K providers billing this code