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#365 of 11K

87651

Streptococcus Group A detection, nucleic acid, amplified probe

Streptococcus Group A detection, nucleic acid, amplified probe is the #365 most-billed Medicaid procedure code, with $335.8M in payments across 14.0M claims from 2018–2024. The national median cost per claim is $28.46.

Total Paid

$335.8M

0.03% of all spending

Total Claims

14.0M

Providers

7K

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 87651? Based on 6K providers billing this code nationally.

Median

$28.46

Average

$28.01

Std Dev

$20.00

Max

$541.41

Percentile Distribution (Cost per Claim)

p10
$4.30
p25
$18.31
Median
$28.46
p75
$35.09
p90
$44.61
p95
$47.89
p99
$88.86

50% of providers bill between $18.31 and $35.09 per claim for this code.

90% bill between $4.30 and $44.61.

Top 1% bill above $88.86.

About This Procedure

HCPCS code 87651 (Streptococcus Group A detection, nucleic acid, amplified probe) was billed by 7K providers across 14.0M claims, totaling $335.8M in Medicaid payments from 2018–2024. This code was used for 12.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.46

Providers Billing

6K

National Spending

$335.8M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87651

#ProviderTotal Paid
1Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$8.2M
2Eurofins Diatherix Laboratories Llc

Huntsville, AL · Clinical Medical Laboratory

$6.4M
3Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$5.9M
4The Miriam Hospital

Providence, RI · General Acute Care Hospital

$3.3M
51306983762$3.2M
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$2.9M
71639115132$2.6M
8Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$2.4M
91659425825$2.3M
10University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$2.1M
111467669259$2.0M
12Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$2.0M
13Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$1.9M
141548349186$1.8M
151396188074$1.8M
161609923671$1.7M
171053721373$1.7M
18Parcare Community Health Network Inc

Brooklyn, NY · Specialist

$1.6M
191861404121$1.6M
20Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$1.6M

Showing top 20 of 7K providers billing this code