#4149 of 11K

94750

HCPCS Procedure Code

HCPCS code 94750 is the #4,149 most-billed Medicaid procedure code, with $804K in payments across 17K claims from 2018–2024. The national median cost per claim is $8.93. Costs vary widely — the 90th percentile is $56.36 per claim, 6.3× the median.

Total Paid

$804K

0.00% of all spending

Total Claims

17K

Providers

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 94750? Based on 50 providers billing this code nationally.

Median

$8.93

Average

$25.19

Std Dev

$42.29

Max

$281.05

Percentile Distribution (Cost per Claim)

p10

$2.73

p25

$3.82

Median

$8.93

p75

$38.28

p90

$56.36

p95

$61.76

p99

$176.49

50% of providers bill between $3.82 and $38.28 per claim for this code.

90% bill between $2.73 and $56.36.

Top 1% bill above $176.49.

About This Procedure

HCPCS code 94750 was billed by 55 providers across 17K claims, totaling $804K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.93

Providers Billing

National Spending

$804K

Avg/Median Ratio

2.82×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 94750

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	The Cooper Health System Camden, NJ · General Acute Care Hospital	$568K	$281.05	31.5× median	Top 1%
2	1346304664	$46K	$22.77	2.6× median	Above Median
3	1811213994	$40K	$45.64	5.1× median	Above 75th
4	1295023547	$19K	$44.48	5.0× median	Above 75th
5	1083664759	$17K	$7.06	0.8× median	Below Median
6	1578587150	$16K	$67.65	7.6× median	Top 10%
7	1295923720	$12K	$22.71	2.5× median	Above Median
8	1831588458	$12K	$40.22	4.5× median	Above 75th
9	1437661212	$11K	$49.72	5.6× median	Above 75th
10	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$9K	$18.89	2.1× median	Above Median
11	1598852717	$8K	$17.89	2.0× median	Above Median
12	1598802092	$6K	$63.40	7.1× median	Top 10%
13	1265546048	$5K	$37.56	4.2× median	Above Median
14	1841242948	$5K	$5.49	0.6× median	Below Median
15	1679517023	$4K	$6.47	0.7× median	Below Median
16	1497944193	$3K	$59.32	6.6× median	Top 10%
17	1528024718	$3K	$30.43	3.4× median	Above Median
18	1841617735	$3K	$10.05	1.1× median	Above Median
19	1831373091	$3K	$59.75	6.7× median	Top 10%
20	1831248236	$2K	$16.25	1.8× median	Above Median

Showing top 20 of 55 providers billing this code

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