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#1925 of 11K

99607

HCPCS Procedure Code

HCPCS code 99607 is the #1,925 most-billed Medicaid procedure code, with $11.4M in payments across 221K claims from 2018–2024. The national median cost per claim is $50.77. Costs vary widely — the 90th percentile is $103.43 per claim, 2.0× the median.

Total Paid

$11.4M

0.00% of all spending

Total Claims

221K

Providers

358

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for 99607? Based on 312 providers billing this code nationally.

Median

$50.77

Average

$62.51

Std Dev

$56.99

Max

$345.87

Percentile Distribution (Cost per Claim)

p10
$10.21
p25
$26.06
Median
$50.77
p75
$84.49
p90
$103.43
p95
$188.14
p99
$295.00

50% of providers bill between $26.06 and $84.49 per claim for this code.

90% bill between $10.21 and $103.43.

Top 1% bill above $295.00.

About This Procedure

HCPCS code 99607 was billed by 358 providers across 221K claims, totaling $11.4M in Medicaid payments from 2018–2024. This code was used for 175K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.77

Providers Billing

312

National Spending

$11.4M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99607

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$1.8M
21790045292$1.1M
3Alameda County Behavioral Health Care

Oakland, CA · Community/Behavioral Health

$732K
4Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$704K
51598117210$523K
61093086837$423K
7Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$263K
81619426665$236K
91376240978$230K
101780605451$218K
11Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$200K
121154182335$197K
13County Of Kern

Bakersfield, CA · Clinic/Center, Adult Mental Health

$187K
141306627872$174K
151174929723$155K
161093921439$143K
171043950769$128K
181346755576$124K
191578595674$112K
201821373077$111K

Showing top 20 of 358 providers billing this code