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#265 of 11K

99308

Nursing facility care, subsequent, straightforward

Nursing facility care, subsequent, straightforward is the #265 most-billed Medicaid procedure code, with $536.4M in payments across 42.5M claims from 2018–2024. The national median cost per claim is $9.79. Costs vary widely — the 90th percentile is $28.45 per claim, 2.9× the median.

Total Paid

$536.4M

0.05% of all spending

Total Claims

42.5M

Providers

15K

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 99308? Based on 14K providers billing this code nationally.

Median

$9.79

Average

$13.54

Std Dev

$15.03

Max

$703.29

Percentile Distribution (Cost per Claim)

p10
$2.41
p25
$5.01
Median
$9.79
p75
$17.65
p90
$28.45
p95
$37.50
p99
$60.04

50% of providers bill between $5.01 and $17.65 per claim for this code.

90% bill between $2.41 and $28.45.

Top 1% bill above $60.04.

About This Procedure

HCPCS code 99308 (Nursing facility care, subsequent, straightforward) was billed by 15K providers across 42.5M claims, totaling $536.4M in Medicaid payments from 2018–2024. This code was used for 24.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.79

Providers Billing

14K

National Spending

$536.4M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99308

#ProviderTotal Paid
11669835310$5.9M
21972912228$4.7M
31740555267$4.6M
41396999686$4.0M
5Parcare Community Health Network Inc

Brooklyn, NY · Specialist

$4.0M
61043537046$3.8M
71467765024$3.8M
81588122535$3.8M
91720440449$3.4M
10Maryland Medical First P.a.

Baltimore, MD · Internal Medicine

$3.2M
111609362375$3.2M
121447314075$3.0M
131780056168$2.9M
141518900620$2.9M
151063848968$2.8M
16Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$2.6M
171689688335$2.6M
181073171849$2.4M
191528142759$2.3M
201669422846$2.2M

Showing top 20 of 15K providers billing this code