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#19 of 11K

90999

Unlisted dialysis procedure

Unlisted dialysis procedure is the #19 most-billed Medicaid procedure code, with $7.74B in payments across 90.1M claims from 2018–2024. The national median cost per claim is $63.73. Costs vary widely — the 90th percentile is $177.77 per claim, 2.8× the median.

Total Paid

$7.74B

0.71% of all spending

Total Claims

90.1M

Providers

5K

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for 90999? Based on 5K providers billing this code nationally.

Median

$63.73

Average

$92.25

Std Dev

$138.78

Max

$3,773.15

Percentile Distribution (Cost per Claim)

p10
$17.44
p25
$37.11
Median
$63.73
p75
$118.48
p90
$177.77
p95
$221.18
p99
$406.70

50% of providers bill between $37.11 and $118.48 per claim for this code.

90% bill between $17.44 and $177.77.

Top 1% bill above $406.70.

About This Procedure

HCPCS code 90999 (Unlisted dialysis procedure) was billed by 5K providers across 90.1M claims, totaling $7.74B in Medicaid payments from 2018–2024. This code was used for 6.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.73

Providers Billing

5K

National Spending

$7.74B

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90999

#ProviderTotal Paid
11538214556$24.6M
21316315955$22.1M
3Liberty Dialysis - Hawaii Llc

Honolulu, HI · Clinic/Center End-Stage Renal Disease (ESRD) Treatment

$20.1M
41598839227$19.7M
51376784389$19.4M
61801021399$18.6M
71720277866$17.9M
81679718225$17.7M
91407263569$17.6M
101881639342$17.2M
111053443101$16.5M
121194799544$16.2M
131073576153$16.1M
141205135340$15.6M
151639132772$15.5M
161710946637$15.4M
171063421212$15.2M
181902869035$15.1M
191962839183$15.0M
201336102433$14.9M

Showing top 20 of 5K providers billing this code

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