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#1564 of 11K

92521

Evaluation of speech fluency

Evaluation of speech fluency is the #1,564 most-billed Medicaid procedure code, with $19.1M in payments across 372K claims from 2018–2024. The national median cost per claim is $31.97. Costs vary widely — the 90th percentile is $85.13 per claim, 2.7× the median.

Total Paid

$19.1M

0.00% of all spending

Total Claims

372K

Providers

349

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for 92521? Based on 349 providers billing this code nationally.

Median

$31.97

Average

$45.17

Std Dev

$38.25

Max

$441.00

Percentile Distribution (Cost per Claim)

p10
$24.70
p25
$28.09
Median
$31.97
p75
$46.15
p90
$85.13
p95
$101.64
p99
$163.30

50% of providers bill between $28.09 and $46.15 per claim for this code.

90% bill between $24.70 and $85.13.

Top 1% bill above $163.30.

About This Procedure

HCPCS code 92521 (Evaluation of speech fluency) was billed by 349 providers across 372K claims, totaling $19.1M in Medicaid payments from 2018–2024. This code was used for 308K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.97

Providers Billing

349

National Spending

$19.1M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92521

#ProviderTotal Paid
11558746248$4.4M
2Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$1.5M
31104120385$1.0M
41386988723$954K
51942861919$645K
61851833560$508K
71407106586$463K
81598146391$451K
91225622889$406K
101629002936$350K
111366730657$313K
121891885604$229K
131659817435$226K
141639322134$212K
151720125917$186K
161588709869$179K
171205228343$165K
181740338011$151K
191639395346$143K
201760505788$132K

Showing top 20 of 349 providers billing this code