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#4815 of 11K

H2016HI

HCPCS Procedure Code

HCPCS code H2016HI is the #4,815 most-billed Medicaid procedure code, with $387K in payments across 1,890 claims from 2018–2024. The national median cost per claim is $191.08.

Total Paid

$387K

0.00% of all spending

Total Claims

1,890

Providers

10

Avg Cost/Claim

$205

National Cost Distribution

How much do providers bill per claim for H2016HI? Based on 10 providers billing this code nationally.

Median

$191.08

Average

$202.68

Std Dev

$21.07

Max

$233.73

Percentile Distribution (Cost per Claim)

p10
$187.33
p25
$189.00
Median
$191.08
p75
$222.40
p90
$233.73
p95
$233.73
p99
$233.73

50% of providers bill between $189.00 and $222.40 per claim for this code.

90% bill between $187.33 and $233.73.

Top 1% bill above $233.73.

About This Procedure

HCPCS code H2016HI was billed by 10 providers across 1,890 claims, totaling $387K in Medicaid payments from 2018–2024. This code was used for 189 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$191.08

Providers Billing

10

National Spending

$387K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H2016HI

#ProviderTotal Paid
11720138712$102K
21164675815$61K
31235249285$51K
41356480602$37K
51104986132$32K
61922125244$29K
71255640165$26K
8Homecare Management Corporation

Spindale, NC · Community/Behavioral Health

$19K
91821129362$15K
101932367638$15K

Showing top 10 of 10 providers billing this code