#1575 of 11K

90707

MMR vaccine

MMR vaccine is the #1,575 most-billed Medicaid procedure code, with $18.7M in payments across 3.5M claims from 2018–2024. The national median cost per claim is $5.76. Costs vary widely — the 90th percentile is $21.34 per claim, 3.7× the median.

Total Paid

$18.7M

0.00% of all spending

Total Claims

3.5M

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 90707? Based on 4K providers billing this code nationally.

Median

$5.76

Average

$9.47

Std Dev

$12.79

Max

$151.80

Percentile Distribution (Cost per Claim)

p10

$0.17

p25

$1.04

Median

$5.76

p75

$13.28

p90

$21.34

p95

$27.56

p99

$72.42

50% of providers bill between $1.04 and $13.28 per claim for this code.

90% bill between $0.17 and $21.34.

Top 1% bill above $72.42.

About This Procedure

HCPCS code 90707 (MMR vaccine) was billed by 7K providers across 3.5M claims, totaling $18.7M in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.76

Providers Billing

National Spending

$18.7M

Avg/Median Ratio

1.64×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90707

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare	$783K	$11.43	2.0× median	Above Median
2	The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA)	$614K	$42.44	7.4× median	Top 10%
3	1275550212	$455K	$38.44	6.7× median	Top 10%
4	1376508788	$288K	$26.39	4.6× median	Top 10%
5	1356723605	$223K	$100.56	17.5× median	Top 1%
6	1669404018	$199K	$15.93	2.8× median	Above 75th
7	1245234673	$194K	$19.38	3.4× median	Above 75th
8	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$186K	$22.66	3.9× median	Top 10%
9	1700036837	$179K	$85.81	14.9× median	Top 1%
10	The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities	$153K	$12.30	2.1× median	Above Median
11	Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital	$150K	$24.50	4.3× median	Top 10%
12	1578625661	$136K	$43.59	7.6× median	Top 10%
13	1134286248	$129K	$27.10	4.7× median	Top 10%
14	1194855155	$129K	$28.27	4.9× median	Top 10%
15	1689639312	$128K	$79.50	13.8× median	Top 1%
16	1568901742	$124K	$83.24	14.5× median	Top 1%
17	1598139883	$122K	$24.12	4.2× median	Top 10%
18	City Medical Of Upper East Side Pllc New York, NY · Clinic/Center Urgent Care	$114K	$21.78	3.8× median	Top 10%
19	Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital	$114K	$10.71	1.9× median	Above Median
20	Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization	$111K	$49.37	8.6× median	Top 10%

Showing top 20 of 7K providers billing this code

Related Procedures

90715Tdap vaccine$79.6M 90698$26.1M 90716$25.9M 90697$13.7M 90710MMRV vaccine$12.4M

← All procedures Top providers →