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#4319 of 11K

D6245

HCPCS Procedure Code

HCPCS code D6245 is the #4,319 most-billed Medicaid procedure code, with $668K in payments across 747 claims from 2018–2024. The national median cost per claim is $1,068.07.

Total Paid

$668K

0.00% of all spending

Total Claims

747

Providers

7

Avg Cost/Claim

$895

National Cost Distribution

How much do providers bill per claim for D6245? Based on 7 providers billing this code nationally.

Median

$1,068.07

Average

$1,038.29

Std Dev

$563.28

Max

$1,886.28

Percentile Distribution (Cost per Claim)

p10
$376.37
p25
$630.67
Median
$1,068.07
p75
$1,372.58
p90
$1,612.89
p95
$1,749.58
p99
$1,858.94

50% of providers bill between $630.67 and $1,372.58 per claim for this code.

90% bill between $376.37 and $1,612.89.

Top 1% bill above $1,858.94.

About This Procedure

HCPCS code D6245 was billed by 7 providers across 747 claims, totaling $668K in Medicaid payments from 2018–2024. This code was used for 430 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,068.07

Providers Billing

7

National Spending

$668K

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D6245

#ProviderTotal Paid
11588118434$298K
21508477050$157K
31295156636$63K
41558635607$50K
51619688751$45K
61386277796$43K
71568010148$11K

Showing top 7 of 7 providers billing this code

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