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#915 of 11K

Z5834

HCPCS Procedure Code

HCPCS code Z5834 is the #915 most-billed Medicaid procedure code, with $59.0M in payments across 131K claims from 2018–2024. The national median cost per claim is $399.78.

Total Paid

$59.0M

0.01% of all spending

Total Claims

131K

Providers

41

Avg Cost/Claim

$452

National Cost Distribution

How much do providers bill per claim for Z5834? Based on 41 providers billing this code nationally.

Median

$399.78

Average

$556.26

Std Dev

$482.57

Max

$2,551.20

Percentile Distribution (Cost per Claim)

p10
$332.83
p25
$360.95
Median
$399.78
p75
$470.61
p90
$571.94
p95
$1,778.44
p99
$2,313.32

50% of providers bill between $360.95 and $470.61 per claim for this code.

90% bill between $332.83 and $571.94.

Top 1% bill above $2,313.32.

About This Procedure

HCPCS code Z5834 was billed by 41 providers across 131K claims, totaling $59.0M in Medicaid payments from 2018–2024. This code was used for 5,636 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$399.78

Providers Billing

41

National Spending

$59.0M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z5834

#ProviderTotal Paid
1Nova Skilled Home Health Inc.

Los Angeles, CA · Home Health

$5.8M
2Act Home Health Inc.

Garden Grove, CA · Home Health

$5.0M
31043211857$4.8M
41700969078$3.9M
51164746038$3.3M
61326292897$3.2M
71154387926$2.5M
81295159366$2.4M
91003969114$2.4M
101336230689$2.3M
111942644596$2.1M
121063628501$2.0M
131851344717$1.8M
141801948336$1.7M
151649286030$1.7M
16Maxim Healthcare Services Inc.

San Bernardino, CA · Home Health

$1.7M
171992799928$1.3M
181841232188$1.3M
191326117235$1.2M
201902035876$1.2M

Showing top 20 of 41 providers billing this code