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#338 of 11K

90935

Hemodialysis, one evaluation

Hemodialysis, one evaluation is the #338 most-billed Medicaid procedure code, with $395.4M in payments across 4.5M claims from 2018–2024. The national median cost per claim is $23.72. Costs vary widely — the 90th percentile is $131.28 per claim, 5.5× the median.

Total Paid

$395.4M

0.04% of all spending

Total Claims

4.5M

Providers

2K

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for 90935? Based on 2K providers billing this code nationally.

Median

$23.72

Average

$56.92

Std Dev

$149.36

Max

$3,238.71

Percentile Distribution (Cost per Claim)

p10
$8.03
p25
$13.71
Median
$23.72
p75
$52.85
p90
$131.28
p95
$194.38
p99
$448.95

50% of providers bill between $13.71 and $52.85 per claim for this code.

90% bill between $8.03 and $131.28.

Top 1% bill above $448.95.

About This Procedure

HCPCS code 90935 (Hemodialysis, one evaluation) was billed by 2K providers across 4.5M claims, totaling $395.4M in Medicaid payments from 2018–2024. This code was used for 999K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.72

Providers Billing

2K

National Spending

$395.4M

Avg/Median Ratio

2.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 90935

#ProviderTotal Paid
1Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$43.0M
21407950272$19.1M
31891721940$6.0M
41669472882$5.9M
51023112893$5.8M
61184736985$5.1M
7Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$4.8M
81174811657$4.8M
91871925123$4.6M
101689992448$4.4M
111154537132$4.3M
121194930693$4.3M
131265700264$4.0M
141629310891$4.0M
151023112992$3.8M
161841394616$3.8M
171619944683$3.7M
181831686070$3.7M
191750493557$3.6M
201326148669$3.5M

Showing top 20 of 2K providers billing this code