#992 of 11K

93925

HCPCS Procedure Code

HCPCS code 93925 is the #992 most-billed Medicaid procedure code, with $49.8M in payments across 685K claims from 2018–2024. The national median cost per claim is $54.12. Costs vary widely — the 90th percentile is $156.32 per claim, 2.9× the median.

Total Paid

$49.8M

0.00% of all spending

Total Claims

685K

Providers

Avg Cost/Claim

$73

National Cost Distribution

How much do providers bill per claim for 93925? Based on 2K providers billing this code nationally.

Median

$54.12

Average

$72.02

Std Dev

$65.82

Max

$876.24

Percentile Distribution (Cost per Claim)

p10

$8.98

p25

$22.05

Median

$54.12

p75

$107.69

p90

$156.32

p95

$189.75

p99

$256.39

50% of providers bill between $22.05 and $107.69 per claim for this code.

90% bill between $8.98 and $156.32.

Top 1% bill above $256.39.

About This Procedure

HCPCS code 93925 was billed by 2K providers across 685K claims, totaling $49.8M in Medicaid payments from 2018–2024. This code was used for 621K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.12

Providers Billing

National Spending

$49.8M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93925

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Cardiovascular Institute Of San Diego Inc Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology	$2.1M	$178.35	3.3× median	Top 10%
2	1205835485	$1.3M	$79.80	1.5× median	Above Median
3	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$956K	$211.90	3.9× median	Top 10%
4	1366418709	$723K	$185.46	3.4× median	Top 10%
5	Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital	$661K	$138.07	2.6× median	Above 75th
6	1184766107	$654K	$80.45	1.5× median	Above Median
7	1154401941	$654K	$120.51	2.2× median	Above 75th
8	1164415899	$613K	$128.37	2.4× median	Above 75th
9	1811153695	$571K	$77.35	1.4× median	Above Median
10	1982689113	$519K	$85.01	1.6× median	Above Median
11	1811214489	$508K	$124.79	2.3× median	Above 75th
12	1689825499	$456K	$77.92	1.4× median	Above Median
13	1568416709	$447K	$138.02	2.6× median	Above 75th
14	1073003190	$421K	$195.25	3.6× median	Top 10%
15	Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies	$419K	$156.22	2.9× median	Above 75th
16	1639140387	$419K	$21.73	0.4× median	Below Median
17	1639275084	$387K	$95.83	1.8× median	Above Median
18	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$382K	$178.70	3.3× median	Top 10%
19	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$359K	$38.71	0.7× median	Below Median
20	1164627295	$321K	$77.45	1.4× median	Above Median

Showing top 20 of 2K providers billing this code

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93922$36.2M 93923$27.7M 93924$3.1M 93926$2.4M 93931$1.0M

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