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#3842 of 11K

95807

HCPCS Procedure Code

HCPCS code 95807 is the #3,842 most-billed Medicaid procedure code, with $1.1M in payments across 4K claims from 2018–2024. The national median cost per claim is $208.89.

Total Paid

$1.1M

0.00% of all spending

Total Claims

4K

Providers

17

Avg Cost/Claim

$269

National Cost Distribution

How much do providers bill per claim for 95807? Based on 16 providers billing this code nationally.

Median

$208.89

Average

$235.55

Std Dev

$176.02

Max

$693.25

Percentile Distribution (Cost per Claim)

p10
$54.56
p25
$84.78
Median
$208.89
p75
$323.56
p90
$404.59
p95
$494.83
p99
$653.57

50% of providers bill between $84.78 and $323.56 per claim for this code.

90% bill between $54.56 and $404.59.

Top 1% bill above $653.57.

About This Procedure

HCPCS code 95807 was billed by 17 providers across 4K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$208.89

Providers Billing

16

National Spending

$1.1M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95807

#ProviderTotal Paid
11720083157$482K
2New York City Health And Hospitals Corporation

Brooklyn, NY · Internal Medicine

$121K
31902345747$116K
41487620928$115K
51548523137$88K
61891986006$87K
71104010107$39K
8Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$15K
91679871792$10K
10Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$9K
111760086219$8K
121598363335$8K
131366618837$2K
14Montefiore Medical Center

Bronx, NY · Anesthesiology

$824
151285648154$750
161952347981$458
171447437850$0

Showing top 17 of 17 providers billing this code