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#187 of 11K

77067

Screening mammography, bilateral, including CAD

Screening mammography, bilateral, including CAD is the #187 most-billed Medicaid procedure code, with $916.8M in payments across 16.8M claims from 2018–2024. The national median cost per claim is $39.33. Costs vary widely — the 90th percentile is $104.98 per claim, 2.7× the median.

Total Paid

$916.8M

0.08% of all spending

Total Claims

16.8M

Providers

7K

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for 77067? Based on 7K providers billing this code nationally.

Median

$39.33

Average

$52.87

Std Dev

$44.82

Max

$742.50

Percentile Distribution (Cost per Claim)

p10
$14.96
p25
$24.14
Median
$39.33
p75
$73.95
p90
$104.98
p95
$127.38
p99
$208.02

50% of providers bill between $24.14 and $73.95 per claim for this code.

90% bill between $14.96 and $104.98.

Top 1% bill above $208.02.

About This Procedure

HCPCS code 77067 (Screening mammography, bilateral, including CAD) was billed by 7K providers across 16.8M claims, totaling $916.8M in Medicaid payments from 2018–2024. This code was used for 16.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.33

Providers Billing

7K

National Spending

$916.8M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77067

#ProviderTotal Paid
1Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$31.0M
2Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$17.7M
3New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$15.8M
41497148456$12.6M
51972004489$10.6M
6United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$9.2M
7Advanced Radiology P A

Owings Mills, MD · Radiology Diagnostic Radiology

$7.8M
81629327887$7.1M
91790736551$7.0M
101396707782$6.2M
111376884221$6.0M
12Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$5.2M
131477523413$5.1M
14Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$5.1M
151942397880$5.1M
161720023997$4.7M
171710945969$4.7M
18Montefiore Medical Center

Bronx, NY · Anesthesiology

$3.9M
19Kaiser Foundation Health Plan Of The Northwest

Portland, OR · General Practice

$3.8M
20Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$3.7M

Showing top 20 of 7K providers billing this code