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#864 of 11K

76825

HCPCS Procedure Code

HCPCS code 76825 is the #864 most-billed Medicaid procedure code, with $65.9M in payments across 437K claims from 2018–2024. The national median cost per claim is $103.74. Costs vary widely — the 90th percentile is $266.22 per claim, 2.6× the median.

Total Paid

$65.9M

0.01% of all spending

Total Claims

437K

Providers

667

Avg Cost/Claim

$151

National Cost Distribution

How much do providers bill per claim for 76825? Based on 658 providers billing this code nationally.

Median

$103.74

Average

$140.43

Std Dev

$154.90

Max

$2,834.59

Percentile Distribution (Cost per Claim)

p10
$41.31
p25
$58.44
Median
$103.74
p75
$182.92
p90
$266.22
p95
$335.79
p99
$534.27

50% of providers bill between $58.44 and $182.92 per claim for this code.

90% bill between $41.31 and $266.22.

Top 1% bill above $534.27.

About This Procedure

HCPCS code 76825 was billed by 667 providers across 437K claims, totaling $65.9M in Medicaid payments from 2018–2024. This code was used for 399K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$103.74

Providers Billing

658

National Spending

$65.9M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76825

#ProviderTotal Paid
11376565952$2.7M
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$2.3M
3Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.9M
4Driscoll Childrens Hospital

Corpus Christi, TX · Speech-Language Pathologist,

$1.9M
5New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$1.7M
61093829210$1.4M
71437501988$1.4M
81104973064$1.2M
9University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$1.2M
101174557979$1.2M
11Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$1.2M
121336148543$1.1M
131982799375$1.1M
141689744450$1.0M
151093819492$1.0M
161730259805$1.0M
171124040076$941K
181154333086$852K
191003811381$799K
201821229568$787K

Showing top 20 of 667 providers billing this code