#1714 of 11K

Q4186

HCPCS Procedure Code

HCPCS code Q4186 is the #1,714 most-billed Medicaid procedure code, with $15.5M in payments across 11K claims from 2018–2024. The national median cost per claim is $1,529.61.

Total Paid

$15.5M

0.00% of all spending

Total Claims

11K

Providers

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for Q4186? Based on 24 providers billing this code nationally.

Median

$1,529.61

Average

$1,615.46

Std Dev

$832.43

Max

$3,025.59

Percentile Distribution (Cost per Claim)

p10

$578.63

p25

$1,036.15

Median

$1,529.61

p75

$2,309.71

p90

$2,739.59

p95

$2,885.67

p99

$2,997.81

50% of providers bill between $1,036.15 and $2,309.71 per claim for this code.

90% bill between $578.63 and $2,739.59.

Top 1% bill above $2,997.81.

About This Procedure

HCPCS code Q4186 was billed by 28 providers across 11K claims, totaling $15.5M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,529.61

Providers Billing

National Spending

$15.5M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4186

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316581440	$5.7M	$2,601.64	1.7× median	Above 75th
2	1013013002	$2.8M	$1,073.92	0.7× median	Below Median
3	1225707748	$2.0M	$1,586.01	1.0× median	Above Median
4	1235609413	$1.9M	$1,675.43	1.1× median	Above Median
5	1609328129	$542K	$1,473.21	1.0× median	Below Median
6	1730285073	$516K	$2,302.48	1.5× median	Above Median
7	1396488623	$337K	$1,333.79	0.9× median	Below Median
8	1851389878	$206K	$3,025.59	2.0× median	Top 1%
9	1689835563	$206K	$2,777.14	1.8× median	Top 10%
10	1912017021	$159K	$2,651.98	1.7× median	Above 75th
11	1649212572	$156K	$905.05	0.6× median	Below Median
12	1154719797	$148K	$2,904.82	1.9× median	Top 10%
13	1659473171	$125K	$1,789.20	1.2× median	Above Median
14	1811258510	$122K	$132.84	0.1× median	Below Median
15	1578949889	$119K	$1,438.81	0.9× median	Below Median
16	1699861013	$113K	$2,100.87	1.4× median	Above Median
17	1619981339	$91K	$1,050.35	0.7× median	Below Median
18	1306959721	$91K	$546.57	0.4× median	Below Median
19	1760431654	$47K	$1,868.72	1.2× median	Above Median
20	1659399202	$40K	$2,331.40	1.5× median	Above 75th

Showing top 20 of 28 providers billing this code

Related Procedures

Q4191$3.7M Q4188$1.7M Q4195$338K Q4196$333K Q4187$223K

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