76819
Fetal biophysical profile with non-stress test
Fetal biophysical profile with non-stress test is the #336 most-billed Medicaid procedure code, with $399.0M in payments across 6.8M claims from 2018–2024. The national median cost per claim is $49.45.
Total Paid
$399.0M
0.04% of all spending
Total Claims
6.8M
Providers
3K
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for 76819? Based on 3K providers billing this code nationally.
Median
$49.45
Average
$54.41
Std Dev
$35.47
Max
$479.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.65 and $68.81 per claim for this code.
90% bill between $21.54 and $91.31.
Top 1% bill above $177.25.
About This Procedure
HCPCS code 76819 (Fetal biophysical profile with non-stress test) was billed by 3K providers across 6.8M claims, totaling $399.0M in Medicaid payments from 2018–2024. This code was used for 4.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.45
Providers Billing
3K
National Spending
$399.0M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76819
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770724676 | $6.7M |
| 2 | 1104973064 | $5.6M |
| 3 | 1568486264 | $5.4M |
| 4 | 1376565952 | $5.2M |
| 5 | 1003811381 | $5.2M |
| 6 | 1093829210 | $4.7M |
| 7 | 1508266347 | $4.4M |
| 8 | 1972695260 | $4.4M |
| 9 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $4.3M |
| 10 | 1205859691 | $4.3M |
| 11 | 1861485146 | $4.0M |
| 12 | 1831530906 | $3.3M |
| 13 | 1730259805 | $3.3M |
| 14 | 1801856786 | $3.1M |
| 15 | 1437501988 | $3.0M |
| 16 | North Shore-lij Medical Pc Great Neck, NY · Urology | $3.0M |
| 17 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $2.9M |
| 18 | 1669617197 | $2.9M |
| 19 | 1174866743 | $2.8M |
| 20 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $2.8M |
Showing top 20 of 3K providers billing this code