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#261 of 11K

99600

Unlisted home visit service or procedure

Unlisted home visit service or procedure is the #261 most-billed Medicaid procedure code, with $546.0M in payments across 5.1M claims from 2018–2024. The national median cost per claim is $111.99.

Total Paid

$546.0M

0.05% of all spending

Total Claims

5.1M

Providers

253

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for 99600? Based on 237 providers billing this code nationally.

Median

$111.99

Average

$121.49

Std Dev

$78.48

Max

$481.72

Percentile Distribution (Cost per Claim)

p10
$44.44
p25
$76.56
Median
$111.99
p75
$143.72
p90
$195.14
p95
$320.70
p99
$387.44

50% of providers bill between $76.56 and $143.72 per claim for this code.

90% bill between $44.44 and $195.14.

Top 1% bill above $387.44.

About This Procedure

HCPCS code 99600 (Unlisted home visit service or procedure) was billed by 253 providers across 5.1M claims, totaling $546.0M in Medicaid payments from 2018–2024. This code was used for 399K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$111.99

Providers Billing

237

National Spending

$546.0M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99600

#ProviderTotal Paid
11679842322$55.9M
21659460780$27.3M
3A.w. Holdings Llc

Fort Wayne, IN · Psychologist Intellectual & Developmental Disabilities

$25.9M
41326446261$23.2M
51740481894$19.3M
61437544475$16.4M
71558637108$14.2M
81588909808$13.6M
91770955379$12.0M
101417900085$11.6M
111073511606$10.9M
121457822249$10.1M
131659899656$9.0M
141487901658$8.4M
151396249462$8.4M
161275846909$8.3M
171134255037$8.0M
181811025224$8.0M
191659468817$7.1M
201053825703$7.0M

Showing top 20 of 253 providers billing this code