D7960
HCPCS Procedure Code
HCPCS code D7960 is the #3,498 most-billed Medicaid procedure code, with $1.6M in payments across 12K claims from 2018–2024. The national median cost per claim is $140.30. Costs vary widely — the 90th percentile is $349.18 per claim, 2.5× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
12K
Providers
57
Avg Cost/Claim
$138
National Cost Distribution
How much do providers bill per claim for D7960? Based on 54 providers billing this code nationally.
Median
$140.30
Average
$174.27
Std Dev
$121.32
Max
$538.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $88.62 and $242.76 per claim for this code.
90% bill between $53.82 and $349.18.
Top 1% bill above $483.54.
About This Procedure
HCPCS code D7960 was billed by 57 providers across 12K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 7,259 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$140.30
Providers Billing
54
National Spending
$1.6M
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D7960
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750378931 | $381K |
| 2 | 1447323894 | $208K |
| 3 | 1225129067 | $116K |
| 4 | 1134584055 | $113K |
| 5 | 1134283401 | $71K |
| 6 | 1740771971 | $66K |
| 7 | 1346300209 | $57K |
| 8 | 1629341540 | $48K |
| 9 | 1932567468 | $47K |
| 10 | 1285840256 | $45K |
| 11 | 1972600989 | $40K |
| 12 | 1609194935 | $36K |
| 13 | 1245365907 | $36K |
| 14 | 1538632997 | $35K |
| 15 | 1073683769 | $24K |
| 16 | 1043507890 | $22K |
| 17 | 1629374129 | $22K |
| 18 | 1760635585 | $19K |
| 19 | 1619168655 | $18K |
| 20 | 1255531018 | $16K |
Showing top 20 of 57 providers billing this code