#3507 of 11K

43644

HCPCS Procedure Code

HCPCS code 43644 is the #3,507 most-billed Medicaid procedure code, with $1.6M in payments across 1K claims from 2018–2024. The national median cost per claim is $819.04.

Total Paid

$1.6M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 43644? Based on 23 providers billing this code nationally.

Median

$819.04

Average

$881.32

Std Dev

$770.51

Max

$3,712.21

Percentile Distribution (Cost per Claim)

p10

$173.60

p25

$230.00

Median

$819.04

p75

$1,207.60

p90

$1,419.50

p95

$1,475.32

p99

$3,220.73

50% of providers bill between $230.00 and $1,207.60 per claim for this code.

90% bill between $173.60 and $1,419.50.

Top 1% bill above $3,220.73.

About This Procedure

HCPCS code 43644 was billed by 25 providers across 1K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$819.04

Providers Billing

National Spending

$1.6M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 43644

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1093956682	$452K	$1,478.20	1.8× median	Top 10%
2	1184821373	$319K	$3,712.21	4.5× median	Top 1%
3	1265149488	$197K	$1,449.37	1.8× median	Top 10%
4	Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine	$153K	$1,215.32	1.5× median	Above 75th
5	1124141163	$134K	$1,210.21	1.5× median	Above 75th
6	1629637475	$70K	$1,118.04	1.4× median	Above Median
7	1649430661	$45K	$1,204.99	1.5× median	Above Median
8	1518137520	$36K	$633.18	0.8× median	Below Median
9	1528014164	$33K	$688.29	0.8× median	Below Median
10	1780068189	$33K	$1,300.00	1.6× median	Above 75th
11	1124208269	$22K	$819.04	1.0× median	Below Median
12	1598998569	$21K	$1,074.44	1.3× median	Above Median
13	1184820441	$14K	$634.36	0.8× median	Below Median
14	1881227494	$14K	$599.13	0.7× median	Below Median
15	1407114002	$13K	$966.06	1.2× median	Above Median
16	1740521137	$11K	$947.47	1.2× median	Above Median
17	1669846259	$11K	$195.69	0.2× median	Below Median
18	1538117551	$3K	$254.13	0.3× median	Below Median
19	1144513375	$3K	$198.68	0.2× median	Below Median
20	1164768982	$2K	$205.88	0.3× median	Below Median

Showing top 20 of 25 providers billing this code

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