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#2063 of 11K

76506

HCPCS Procedure Code

HCPCS code 76506 is the #2,063 most-billed Medicaid procedure code, with $9.5M in payments across 340K claims from 2018–2024. The national median cost per claim is $25.33.

Total Paid

$9.5M

0.00% of all spending

Total Claims

340K

Providers

418

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 76506? Based on 417 providers billing this code nationally.

Median

$25.33

Average

$34.75

Std Dev

$35.34

Max

$361.60

Percentile Distribution (Cost per Claim)

p10
$16.24
p25
$19.89
Median
$25.33
p75
$33.53
p90
$50.17
p95
$97.01
p99
$181.02

50% of providers bill between $19.89 and $33.53 per claim for this code.

90% bill between $16.24 and $50.17.

Top 1% bill above $181.02.

About This Procedure

HCPCS code 76506 was billed by 418 providers across 340K claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 259K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.33

Providers Billing

417

National Spending

$9.5M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76506

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$698K
2Ou Health Partners, Inc

Oklahoma City, OK · Clinic/Center, Multi-Specialty

$205K
31801869250$192K
4Texas Children's Physician Group

Houston, TX · Pediatrics

$180K
5Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$169K
61073171401$166K
7Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$162K
81962442475$147K
9State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$140K
101073827101$140K
11The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$138K
12Ut Physicians

Houston, TX · Emergency Medicine

$136K
131477554814$127K
14Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$127K
151104876622$123K
161336192665$123K
171942227558$123K
181093024101$116K
19North Shore-lij Medical Pc

Great Neck, NY · Urology

$115K
201740283324$113K

Showing top 20 of 418 providers billing this code