#4679 of 11K

W9520

HCPCS Procedure Code

HCPCS code W9520 is the #4,679 most-billed Medicaid procedure code, with $457K in payments across 44K claims from 2018–2024. The national median cost per claim is $10.26.

Total Paid

$457K

0.00% of all spending

Total Claims

44K

Providers

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for W9520? Based on 28 providers billing this code nationally.

Median

$10.26

Average

$10.48

Std Dev

$1.01

Max

$12.77

Percentile Distribution (Cost per Claim)

p10

$9.49

p25

$9.55

Median

$10.26

p75

$11.05

p90

$11.84

p95

$12.36

p99

$12.72

50% of providers bill between $9.55 and $11.05 per claim for this code.

90% bill between $9.49 and $11.84.

Top 1% bill above $12.72.

About This Procedure

HCPCS code W9520 was billed by 28 providers across 44K claims, totaling $457K in Medicaid payments from 2018–2024. This code was used for 5,047 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.26

Providers Billing

National Spending

$457K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for W9520

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1578078531	$90K	$9.15	0.9× median	Below Median
2	1790325645	$84K	$10.92	1.1× median	Above Median
3	1356764898	$39K	$10.55	1.0× median	Above Median
4	1740944826	$39K	$12.58	1.2× median	Top 10%
5	1679556559	$30K	$12.77	1.2× median	Top 1%
6	1174291207	$30K	$10.30	1.0× median	Above Median
7	1235516469	$19K	$9.53	0.9× median	Below Median
8	1922206325	$19K	$10.92	1.1× median	Above Median
9	1225182215	$17K	$10.89	1.1× median	Above Median
10	1679971097	$15K	$9.63	0.9× median	Below Median
11	1316345051	$12K	$9.72	0.9× median	Below Median
12	1689937260	$11K	$9.83	1.0× median	Below Median
13	1659652980	$7K	$10.02	1.0× median	Below Median
14	1285042911	$7K	$10.76	1.0× median	Above Median
15	1538500343	$6K	$11.96	1.2× median	Top 10%
16	1407309081	$6K	$11.79	1.1× median	Above 75th
17	1396001798	$6K	$9.48	0.9× median	Below Median
18	1154338861	$3K	$11.62	1.1× median	Above 75th
19	1598099061	$3K	$11.01	1.1× median	Above Median
20	1760657076	$3K	$9.56	0.9× median	Below Median

Showing top 20 of 28 providers billing this code

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