99472
Subsequent pediatric critical care, per day, age 2-5
Subsequent pediatric critical care, per day, age 2-5 is the #316 most-billed Medicaid procedure code, with $432.6M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $307.98.
Total Paid
$432.6M
0.04% of all spending
Total Claims
1.2M
Providers
444
Avg Cost/Claim
$355
National Cost Distribution
How much do providers bill per claim for 99472? Based on 442 providers billing this code nationally.
Median
$307.98
Average
$327.88
Std Dev
$157.42
Max
$1,975.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $251.54 and $366.51 per claim for this code.
90% bill between $219.32 and $421.63.
Top 1% bill above $681.87.
About This Procedure
HCPCS code 99472 (Subsequent pediatric critical care, per day, age 2-5) was billed by 444 providers across 1.2M claims, totaling $432.6M in Medicaid payments from 2018–2024. This code was used for 267K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$307.98
Providers Billing
442
National Spending
$432.6M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99472
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619987302 | $40.8M |
| 2 | 1780676650 | $21.7M |
| 3 | 1457396541 | $17.9M |
| 4 | 1811920549 | $15.2M |
| 5 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $11.6M |
| 6 | 1801869250 | $10.3M |
| 7 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $9.6M |
| 8 | 1245898683 | $9.5M |
| 9 | 1255354130 | $8.4M |
| 10 | 1063419943 | $8.3M |
| 11 | Neo Natal Associates Plc Grand Rapids, MI · Pediatrics Neonatal-Perinatal Medicine | $8.1M |
| 12 | Not Found Unknown, Unknown · Unknown | $7.5M |
| 13 | 1780669200 | $7.4M |
| 14 | 1780800128 | $6.5M |
| 15 | 1417042466 | $6.3M |
| 16 | Texas Children's Physician Group Houston, TX · Pediatrics | $6.0M |
| 17 | 1326091448 | $5.9M |
| 18 | 1477554814 | $5.8M |
| 19 | University Physicians Incorporated Aurora, CO · Anesthesiology | $5.7M |
| 20 | 1518991413 | $5.6M |
Showing top 20 of 444 providers billing this code