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#5018 of 11K

C1764

HCPCS Procedure Code

HCPCS code C1764 is the #5,018 most-billed Medicaid procedure code, with $319K in payments across 343 claims from 2018–2024. The national median cost per claim is $1,046.67.

Total Paid

$319K

0.00% of all spending

Total Claims

343

Providers

5

Avg Cost/Claim

$931

National Cost Distribution

How much do providers bill per claim for C1764? Based on 5 providers billing this code nationally.

Median

$1,046.67

Average

$1,003.51

Std Dev

$570.18

Max

$1,837.00

Percentile Distribution (Cost per Claim)

p10
$469.41
p25
$773.28
Median
$1,046.67
p75
$1,093.75
p90
$1,539.70
p95
$1,688.35
p99
$1,807.27

50% of providers bill between $773.28 and $1,093.75 per claim for this code.

90% bill between $469.41 and $1,539.70.

Top 1% bill above $1,807.27.

About This Procedure

HCPCS code C1764 was billed by 5 providers across 343 claims, totaling $319K in Medicaid payments from 2018–2024. This code was used for 275 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,046.67

Providers Billing

5

National Spending

$319K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for C1764

#ProviderTotal Paid
11932240702$134K
21386899870$79K
31538720685$47K
41285820613$35K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$24K

Showing top 5 of 5 providers billing this code