#1976 of 11K

Z7610

HCPCS Procedure Code

HCPCS code Z7610 is the #1,976 most-billed Medicaid procedure code, with $10.6M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $9.46.

Total Paid

$10.6M

0.00% of all spending

Total Claims

1.2M

Providers

275

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for Z7610? Based on 243 providers billing this code nationally.

Median

$9.46

Average

$8.98

Std Dev

$3.90

Max

$18.67

Percentile Distribution (Cost per Claim)

p10

$3.33

p25

$6.10

Median

$9.46

p75

$12.22

p90

$13.70

p95

$14.43

p99

$16.15

50% of providers bill between $6.10 and $12.22 per claim for this code.

90% bill between $3.33 and $13.70.

Top 1% bill above $16.15.

About This Procedure

HCPCS code Z7610 was billed by 275 providers across 1.2M claims, totaling $10.6M in Medicaid payments from 2018–2024. This code was used for 757K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.46

Providers Billing

243

National Spending

$10.6M

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z7610

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator	$1.2M	$12.09	1.3× median	Above Median
2	1114367497	$589K	$10.97	1.2× median	Above Median
3	Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children	$450K	$10.98	1.2× median	Above Median
4	1700949336	$425K	$18.67	2.0× median	Top 1%
5	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$319K	$9.46	1.0× median	Below Median
6	1003985755	$311K	$8.05	0.9× median	Below Median
7	1891059127	$265K	$12.61	1.3× median	Above 75th
8	1063616613	$217K	$15.74	1.7× median	Top 10%
9	1114547114	$213K	$11.76	1.2× median	Above Median
10	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$198K	$6.53	0.7× median	Below Median
11	1780655670	$194K	$13.58	1.4× median	Above 75th
12	1275578817	$181K	$12.26	1.3× median	Above 75th
13	1023000569	$174K	$14.84	1.6× median	Top 10%
14	Alameda Health System Oakland, CA · General Acute Care Hospital	$171K	$5.48	0.6× median	Below Median
15	1952476525	$165K	$9.03	1.0× median	Below Median
16	1407813660	$165K	$10.07	1.1× median	Above Median
17	1104906569	$160K	$8.12	0.9× median	Below Median
18	1578529285	$146K	$12.00	1.3× median	Above Median
19	City & County Of San Francisco San Francisco, CA · Case Manager/Care Coordinator	$144K	$6.19	0.7× median	Below Median
20	1447253125	$143K	$12.97	1.4× median	Above 75th

Showing top 20 of 275 providers billing this code

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