#1253 of 11K

87807

HCPCS Procedure Code

HCPCS code 87807 is the #1,253 most-billed Medicaid procedure code, with $31.0M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $10.06.

Total Paid

$31.0M

0.00% of all spending

Total Claims

3.4M

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 87807? Based on 6K providers billing this code nationally.

Median

$10.06

Average

$11.05

Std Dev

$18.28

Max

$624.11

Percentile Distribution (Cost per Claim)

p10

$2.72

p25

$7.23

Median

$10.06

p75

$11.70

p90

$13.76

p95

$16.85

p99

$60.35

50% of providers bill between $7.23 and $11.70 per claim for this code.

90% bill between $2.72 and $13.76.

Top 1% bill above $60.35.

About This Procedure

HCPCS code 87807 was billed by 7K providers across 3.4M claims, totaling $31.0M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.06

Providers Billing

National Spending

$31.0M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87807

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Topcare Medical Group Inc Dallas, TX · Pediatrics	$842K	$7.88	0.8× median	Below Median
2	1528039120	$306K	$10.46	1.0× median	Above Median
3	Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital	$238K	$65.88	6.5× median	Top 1%
4	Fast Pace Medical Clinic Pllc Spring Hill, TN · Family Medicine	$231K	$8.28	0.8× median	Below Median
5	Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist,	$228K	$75.22	7.5× median	Top 1%
6	1669708780	$226K	$7.32	0.7× median	Below Median
7	1932586476	$225K	$6.77	0.7× median	Below Median
8	1598729014	$222K	$12.75	1.3× median	Above 75th
9	Variety Children's Hospital Miami, FL · General Acute Care Hospital Children	$184K	$15.49	1.5× median	Top 10%
10	1083659734	$182K	$10.56	1.0× median	Above Median
11	1114948288	$179K	$14.28	1.4× median	Top 10%
12	1578527172	$171K	$10.23	1.0× median	Above Median
13	1124541438	$159K	$9.39	0.9× median	Below Median
14	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$159K	$8.19	0.8× median	Below Median
15	1427125269	$145K	$13.78	1.4× median	Top 10%
16	Spartanburg Medical Center Spartanburg, SC · Ambulance	$141K	$52.06	5.2× median	Top 10%
17	Norton Sound Health Corporation Nome, AK · General Acute Care Hospital, Critical Access	$139K	$132.14	13.1× median	Top 1%
18	1386709871	$139K	$9.39	0.9× median	Below Median
19	1346608809	$133K	$11.55	1.1× median	Above Median
20	1639186760	$129K	$282.62	28.1× median	Top 1%

Showing top 20 of 7K providers billing this code

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