#2358 of 11K

95713

HCPCS Procedure Code

HCPCS code 95713 is the #2,358 most-billed Medicaid procedure code, with $6.4M in payments across 21K claims from 2018–2024. The national median cost per claim is $282.79. Costs vary widely — the 90th percentile is $780.52 per claim, 2.8× the median.

Total Paid

$6.4M

0.00% of all spending

Total Claims

21K

Providers

Avg Cost/Claim

$309

National Cost Distribution

How much do providers bill per claim for 95713? Based on 51 providers billing this code nationally.

Median

$282.79

Average

$365.15

Std Dev

$276.27

Max

$1,043.43

Percentile Distribution (Cost per Claim)

p10

$71.09

p25

$175.94

Median

$282.79

p75

$502.65

p90

$780.52

p95

$911.59

p99

$1,028.85

50% of providers bill between $175.94 and $502.65 per claim for this code.

90% bill between $71.09 and $780.52.

Top 1% bill above $1,028.85.

About This Procedure

HCPCS code 95713 was billed by 52 providers across 21K claims, totaling $6.4M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$282.79

Providers Billing

National Spending

$6.4M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95713

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1013047042	$902K	$251.49	0.9× median	Below Median
2	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$888K	$820.85	2.9× median	Top 10%
3	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$834K	$308.49	1.1× median	Above Median
4	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$609K	$266.96	0.9× median	Below Median
5	1003076886	$473K	$266.78	0.9× median	Below Median
6	1770808883	$420K	$184.18	0.7× median	Below Median
7	1073508545	$351K	$527.76	1.9× median	Above 75th
8	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$230K	$326.93	1.2× median	Above Median
9	1609861244	$208K	$316.38	1.1× median	Above Median
10	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$153K	$217.52	0.8× median	Below Median
11	1033574140	$144K	$1,043.43	3.7× median	Top 1%
12	1407107550	$138K	$841.97	3.0× median	Top 10%
13	1104122621	$108K	$634.94	2.2× median	Above 75th
14	1477549756	$96K	$147.64	0.5× median	Below Median
15	1780667923	$88K	$170.89	0.6× median	Below Median
16	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$82K	$385.51	1.4× median	Above Median
17	1730472671	$73K	$706.40	2.5× median	Above 75th
18	1609983790	$72K	$981.21	3.5× median	Top 10%
19	1386731073	$69K	$673.36	2.4× median	Above 75th
20	1932118056	$64K	$756.51	2.7× median	Above 75th

Showing top 20 of 52 providers billing this code

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95720$84.1M 95715$77.7M 95716$27.9M 95708$8.8M 95718$6.3M

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