90960
End-stage renal disease services, per month, age 20+
End-stage renal disease services, per month, age 20+ is the #332 most-billed Medicaid procedure code, with $403.7M in payments across 5.8M claims from 2018–2024. The national median cost per claim is $52.76. Costs vary widely — the 90th percentile is $147.40 per claim, 2.8× the median.
Total Paid
$403.7M
0.04% of all spending
Total Claims
5.8M
Providers
3K
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for 90960? Based on 3K providers billing this code nationally.
Median
$52.76
Average
$70.59
Std Dev
$65.50
Max
$889.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.89 and $88.97 per claim for this code.
90% bill between $15.62 and $147.40.
Top 1% bill above $331.39.
About This Procedure
HCPCS code 90960 (End-stage renal disease services, per month, age 20+) was billed by 3K providers across 5.8M claims, totaling $403.7M in Medicaid payments from 2018–2024. This code was used for 5.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.76
Providers Billing
3K
National Spending
$403.7M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90960
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1316997505 | $12.7M |
| 2 | 1316902208 | $11.5M |
| 3 | 1447200126 | $10.0M |
| 4 | 1659316008 | $4.7M |
| 5 | 1871699074 | $4.2M |
| 6 | 1962454140 | $4.2M |
| 7 | 1366550675 | $4.1M |
| 8 | 1275604183 | $3.3M |
| 9 | 1205906229 | $3.3M |
| 10 | 1427120682 | $3.1M |
| 11 | 1760497457 | $2.9M |
| 12 | 1144372905 | $2.9M |
| 13 | 1659304467 | $2.9M |
| 14 | 1750835336 | $2.9M |
| 15 | 1942239694 | $2.8M |
| 16 | 1407897358 | $2.8M |
| 17 | 1982763405 | $2.7M |
| 18 | 1982631222 | $2.4M |
| 19 | 1912958422 | $2.3M |
| 20 | 1083664189 | $2.3M |
Showing top 20 of 3K providers billing this code