#4448 of 11K

29520

HCPCS Procedure Code

HCPCS code 29520 is the #4,448 most-billed Medicaid procedure code, with $584K in payments across 33K claims from 2018–2024. The national median cost per claim is $17.78.

Total Paid

$584K

0.00% of all spending

Total Claims

33K

Providers

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 29520? Based on 22 providers billing this code nationally.

Median

$17.78

Average

$17.90

Std Dev

$11.38

Max

$40.53

Percentile Distribution (Cost per Claim)

p10

$2.58

p25

$11.35

Median

$17.78

p75

$24.81

p90

$33.15

p95

$35.32

p99

$39.45

50% of providers bill between $11.35 and $24.81 per claim for this code.

90% bill between $2.58 and $33.15.

Top 1% bill above $39.45.

About This Procedure

HCPCS code 29520 was billed by 23 providers across 33K claims, totaling $584K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.78

Providers Billing

National Spending

$584K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 29520

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$122K	$24.20	1.4× median	Above Median
2	1881103133	$93K	$35.41	2.0× median	Top 10%
3	1427416668	$70K	$21.22	1.2× median	Above Median
4	1447848221	$62K	$20.55	1.2× median	Above Median
5	1750592838	$49K	$12.00	0.7× median	Below Median
6	1053644153	$41K	$11.67	0.7× median	Below Median
7	1629121868	$38K	$33.71	1.9× median	Top 10%
8	1982259040	$30K	$28.13	1.6× median	Above 75th
9	1003231754	$15K	$14.73	0.8× median	Below Median
10	1912982927	$14K	$4.20	0.2× median	Below Median
11	1104369883	$14K	$40.53	2.3× median	Top 1%
12	1528569316	$10K	$19.22	1.1× median	Above Median
13	1760807093	$9K	$25.01	1.4× median	Above 75th
14	1063931269	$5K	$23.06	1.3× median	Above Median
15	1932583663	$5K	$11.24	0.6× median	Below Median
16	1447346309	$3K	$14.22	0.8× median	Below Median
17	1720146533	$1K	$28.02	1.6× median	Above 75th
18	1336557313	$965	$16.35	0.9× median	Below Median
19	1265862650	$286	$2.40	0.1× median	Below Median
20	1881286300	$225	$7.48	0.4× median	Below Median

Showing top 20 of 23 providers billing this code

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