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#1347 of 11K

87563

HCPCS Procedure Code

HCPCS code 87563 is the #1,347 most-billed Medicaid procedure code, with $26.3M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $16.98.

Total Paid

$26.3M

0.00% of all spending

Total Claims

1.8M

Providers

530

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 87563? Based on 501 providers billing this code nationally.

Median

$16.98

Average

$16.91

Std Dev

$10.85

Max

$107.49

Percentile Distribution (Cost per Claim)

p10
$2.84
p25
$8.24
Median
$16.98
p75
$24.03
p90
$29.86
p95
$33.16
p99
$41.08

50% of providers bill between $8.24 and $24.03 per claim for this code.

90% bill between $2.84 and $29.86.

Top 1% bill above $41.08.

About This Procedure

HCPCS code 87563 was billed by 530 providers across 1.8M claims, totaling $26.3M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.98

Providers Billing

501

National Spending

$26.3M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87563

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$4.8M
2Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$2.2M
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$2.1M
41750373908$2.0M
5Gravity Diagnostics, Llc

Covington, KY · Clinical Medical Laboratory

$864K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$856K
7Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$573K
8Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$524K
9A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$505K
101942378708$415K
111821360017$399K
12Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$391K
13Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$352K
14Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$324K
15Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$320K
16Richard Bone

Chicago, IL · Internal Medicine, Gastroenterology

$294K
171841339678$277K
18Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$266K
191174009245$253K
20Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$236K

Showing top 20 of 530 providers billing this code