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#4191 of 11K

D9952

HCPCS Procedure Code

HCPCS code D9952 is the #4,191 most-billed Medicaid procedure code, with $768K in payments across 3K claims from 2018–2024. The national median cost per claim is $229.30. Costs vary widely — the 90th percentile is $459.08 per claim, 2.0× the median.

Total Paid

$768K

0.00% of all spending

Total Claims

3K

Providers

7

Avg Cost/Claim

$258

National Cost Distribution

How much do providers bill per claim for D9952? Based on 7 providers billing this code nationally.

Median

$229.30

Average

$266.41

Std Dev

$191.86

Max

$563.31

Percentile Distribution (Cost per Claim)

p10
$47.16
p25
$141.85
Median
$229.30
p75
$384.30
p90
$459.08
p95
$511.20
p99
$552.89

50% of providers bill between $141.85 and $384.30 per claim for this code.

90% bill between $47.16 and $459.08.

Top 1% bill above $552.89.

About This Procedure

HCPCS code D9952 was billed by 7 providers across 3K claims, totaling $768K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$229.30

Providers Billing

7

National Spending

$768K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9952

#ProviderTotal Paid
11891944476$429K
21124093752$177K
31386815223$76K
41811439912$69K
51154656270$12K
61366683120$5K
71730600610$300

Showing top 7 of 7 providers billing this code