Q9963
HCPCS Procedure Code
HCPCS code Q9963 is the #3,919 most-billed Medicaid procedure code, with $1.0M in payments across 105K claims from 2018–2024. The national median cost per claim is $3.79. Costs vary widely — the 90th percentile is $31.20 per claim, 8.2× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
105K
Providers
223
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for Q9963? Based on 143 providers billing this code nationally.
Median
$3.79
Average
$17.78
Std Dev
$50.47
Max
$405.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.37 and $9.76 per claim for this code.
90% bill between $0.11 and $31.20.
Top 1% bill above $226.11.
About This Procedure
HCPCS code Q9963 was billed by 223 providers across 105K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 96K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.79
Providers Billing
143
National Spending
$1.0M
Avg/Median Ratio
4.69×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q9963
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043220650 | $221K |
| 2 | 1720185267 | $153K |
| 3 | 1194749580 | $100K |
| 4 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $67K |
| 5 | 1114025491 | $46K |
| 6 | 1992701429 | $41K |
| 7 | 1326107319 | $39K |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $32K |
| 9 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $29K |
| 10 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $29K |
| 11 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $28K |
| 12 | 1366452880 | $25K |
| 13 | 1568825545 | $24K |
| 14 | 1811213994 | $17K |
| 15 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $14K |
| 16 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $10K |
| 17 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $10K |
| 18 | 1740233899 | $7K |
| 19 | 1043293608 | $7K |
| 20 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $7K |
Showing top 20 of 223 providers billing this code