99506
HCPCS Procedure Code
HCPCS code 99506 is the #3,466 most-billed Medicaid procedure code, with $1.6M in payments across 21K claims from 2018–2024. The national median cost per claim is $114.25. Costs vary widely — the 90th percentile is $370.50 per claim, 3.2× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
21K
Providers
14
Avg Cost/Claim
$80
National Cost Distribution
How much do providers bill per claim for 99506? Based on 11 providers billing this code nationally.
Median
$114.25
Average
$172.55
Std Dev
$147.34
Max
$454.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $66.74 and $264.68 per claim for this code.
90% bill between $20.52 and $370.50.
Top 1% bill above $446.10.
About This Procedure
HCPCS code 99506 was billed by 14 providers across 21K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$114.25
Providers Billing
11
National Spending
$1.6M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99506
| # | Provider | Total Paid |
|---|---|---|
| 1 | Optum Women's And Children's Health, Llc Marietta, GA · Home Health | $597K |
| 2 | 1427366590 | $497K |
| 3 | 1508904400 | $202K |
| 4 | 1730227455 | $192K |
| 5 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $81K |
| 6 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $30K |
| 7 | 1326066796 | $18K |
| 8 | 1962559518 | $15K |
| 9 | Genesee Health System Flint, MI · Community/Behavioral Health | $8K |
| 10 | 1104093830 | $5K |
| 11 | 1578935607 | $390 |
| 12 | 1053654434 | $0 |
| 13 | 1912902610 | $0 |
| 14 | 1275563066 | $0 |
Showing top 14 of 14 providers billing this code