59510
HCPCS Procedure Code
HCPCS code 59510 is the #1,077 most-billed Medicaid procedure code, with $42.7M in payments across 25K claims from 2018–2024. The national median cost per claim is $1,543.20.
Total Paid
$42.7M
0.00% of all spending
Total Claims
25K
Providers
153
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 59510? Based on 146 providers billing this code nationally.
Median
$1,543.20
Average
$1,656.22
Std Dev
$737.62
Max
$5,860.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,141.90 and $2,047.35 per claim for this code.
90% bill between $911.59 and $2,403.75.
Top 1% bill above $3,664.06.
About This Procedure
HCPCS code 59510 was billed by 153 providers across 25K claims, totaling $42.7M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,543.20
Providers Billing
146
National Spending
$42.7M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 59510
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730294257 | $5.1M |
| 2 | 1205955135 | $4.1M |
| 3 | 1235290628 | $2.8M |
| 4 | 1861579336 | $2.0M |
| 5 | 1447200977 | $1.8M |
| 6 | 1659455137 | $1.7M |
| 7 | 1104901438 | $1.6M |
| 8 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $1.5M |
| 9 | 1003288184 | $1.3M |
| 10 | 1558498063 | $1.3M |
| 11 | 1699774646 | $1.3M |
| 12 | 1003811381 | $1.2M |
| 13 | 1265766877 | $1.1M |
| 14 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $961K |
| 15 | Brockton Neighborhood Health Center Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC) | $880K |
| 16 | 1164566717 | $690K |
| 17 | 1093090342 | $627K |
| 18 | 1760465090 | $614K |
| 19 | Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health | $556K |
| 20 | 1124089040 | $548K |
Showing top 20 of 153 providers billing this code