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#5728 of 11K

86632

HCPCS Procedure Code

HCPCS code 86632 is the #5,728 most-billed Medicaid procedure code, with $148K in payments across 24K claims from 2018–2024. The national median cost per claim is $5.92. Costs vary widely — the 90th percentile is $14.25 per claim, 2.4× the median.

Total Paid

$148K

0.00% of all spending

Total Claims

24K

Providers

41

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 86632? Based on 39 providers billing this code nationally.

Median

$5.92

Average

$9.23

Std Dev

$13.41

Max

$64.52

Percentile Distribution (Cost per Claim)

p10
$1.07
p25
$3.97
Median
$5.92
p75
$7.53
p90
$14.25
p95
$33.96
p99
$61.98

50% of providers bill between $3.97 and $7.53 per claim for this code.

90% bill between $1.07 and $14.25.

Top 1% bill above $61.98.

About This Procedure

HCPCS code 86632 was billed by 41 providers across 24K claims, totaling $148K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.92

Providers Billing

39

National Spending

$148K

Avg/Median Ratio

1.56×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 86632

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$35K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$31K
3Tricore Reference Laboratories

Albuquerque, NM · Clinical Medical Laboratory

$14K
4Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$14K
5Accurate Diagnostics Labs, Inc.

South Plainfield, NJ · Clinical Medical Laboratory

$8K
6Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$6K
7Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$6K
81447296272$3K
91194254219$3K
10Tricore Inc.

Albuquerque, NM · Clinical Medical Laboratory

$3K
11Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$3K
121750373908$3K
13Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$3K
14Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$3K
15Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$2K
161881626943$2K
17Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$2K
18Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$2K
191235234402$1K
201619125788$1K

Showing top 20 of 41 providers billing this code