92607
HCPCS Procedure Code
HCPCS code 92607 is the #2,515 most-billed Medicaid procedure code, with $5.2M in payments across 19K claims from 2018–2024. The national median cost per claim is $89.89. Costs vary widely — the 90th percentile is $387.43 per claim, 4.3× the median.
Total Paid
$5.2M
0.00% of all spending
Total Claims
19K
Providers
30
Avg Cost/Claim
$271
National Cost Distribution
How much do providers bill per claim for 92607? Based on 30 providers billing this code nationally.
Median
$89.89
Average
$204.31
Std Dev
$312.95
Max
$1,353.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $65.65 and $213.78 per claim for this code.
90% bill between $27.14 and $387.43.
Top 1% bill above $1,309.52.
About This Procedure
HCPCS code 92607 was billed by 30 providers across 19K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.89
Providers Billing
30
National Spending
$5.2M
Avg/Median Ratio
2.27×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 92607
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1316163884 | $1.5M |
| 2 | 1972659399 | $1.4M |
| 3 | 1609541283 | $992K |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $650K |
| 5 | 1598180143 | $195K |
| 6 | 1033395769 | $104K |
| 7 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $79K |
| 8 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $57K |
| 9 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $43K |
| 10 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $23K |
| 11 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $21K |
| 12 | 1326295312 | $20K |
| 13 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $18K |
| 14 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $18K |
| 15 | 1982943353 | $12K |
| 16 | 1730194432 | $9K |
| 17 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $8K |
| 18 | 1780600825 | $7K |
| 19 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $7K |
| 20 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $7K |
Showing top 20 of 30 providers billing this code