#4924 of 11K

83630

HCPCS Procedure Code

HCPCS code 83630 is the #4,924 most-billed Medicaid procedure code, with $352K in payments across 35K claims from 2018–2024. The national median cost per claim is $11.24.

Total Paid

$352K

0.00% of all spending

Total Claims

35K

Providers

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 83630? Based on 93 providers billing this code nationally.

Median

$11.24

Average

$11.87

Std Dev

$7.17

Max

$44.63

Percentile Distribution (Cost per Claim)

p10

$3.33

p25

$6.98

Median

$11.24

p75

$15.42

p90

$19.60

p95

$21.57

p99

$37.92

50% of providers bill between $6.98 and $15.42 per claim for this code.

90% bill between $3.33 and $19.60.

Top 1% bill above $37.92.

About This Procedure

HCPCS code 83630 was billed by 99 providers across 35K claims, totaling $352K in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.24

Providers Billing

National Spending

$352K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83630

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$40K	$8.66	0.8× median	Below Median
2	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$25K	$5.29	0.5× median	Below Median
3	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$24K	$8.36	0.7× median	Below Median
4	Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization	$24K	$18.46	1.6× median	Above 75th
5	A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory	$22K	$12.28	1.1× median	Above Median
6	1316983158	$19K	$12.61	1.1× median	Above Median
7	1457341851	$17K	$13.56	1.2× median	Above Median
8	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$15K	$12.73	1.1× median	Above Median
9	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$11K	$10.30	0.9× median	Below Median
10	1477602639	$11K	$13.23	1.2× median	Above Median
11	1073587937	$10K	$13.49	1.2× median	Above Median
12	1124136593	$10K	$15.31	1.4× median	Above Median
13	1619931466	$9K	$11.85	1.1× median	Above Median
14	1689282147	$8K	$17.35	1.5× median	Above 75th
15	1346233277	$8K	$12.99	1.2× median	Above Median
16	1972557064	$8K	$15.79	1.4× median	Above 75th
17	Owensboro Health Inc Owensboro, KY · General Acute Care Hospital	$6K	$12.54	1.1× median	Above Median
18	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$6K	$8.54	0.8× median	Below Median
19	1396746673	$5K	$6.33	0.6× median	Below Median
20	Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital	$4K	$8.41	0.7× median	Below Median

Showing top 20 of 99 providers billing this code

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