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#354 of 11K

99479

Subsequent intensive care, 2,501-5,000 grams

Subsequent intensive care, 2,501-5,000 grams is the #354 most-billed Medicaid procedure code, with $354.9M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $103.70.

Total Paid

$354.9M

0.03% of all spending

Total Claims

3.3M

Providers

841

Avg Cost/Claim

$109

National Cost Distribution

How much do providers bill per claim for 99479? Based on 838 providers billing this code nationally.

Median

$103.70

Average

$108.14

Std Dev

$48.72

Max

$788.69

Percentile Distribution (Cost per Claim)

p10
$77.11
p25
$81.91
Median
$103.70
p75
$119.76
p90
$136.84
p95
$164.74
p99
$242.22

50% of providers bill between $81.91 and $119.76 per claim for this code.

90% bill between $77.11 and $136.84.

Top 1% bill above $242.22.

About This Procedure

HCPCS code 99479 (Subsequent intensive care, 2,501-5,000 grams) was billed by 841 providers across 3.3M claims, totaling $354.9M in Medicaid payments from 2018–2024. This code was used for 894K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$103.70

Providers Billing

838

National Spending

$354.9M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99479

#ProviderTotal Paid
11184944662$13.5M
21649377359$11.5M
31992802607$11.5M
41619987302$11.0M
51407957152$7.1M
6Magella Medical Associates Billing, Inc.

Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine

$7.0M
71972695260$6.5M
81497852107$5.6M
91922193911$5.3M
101558468256$5.2M
111376831636$5.2M
121457396541$4.8M
131750351375$4.8M
141467559179$4.6M
15Neo Natal Associates Plc

Grand Rapids, MI · Pediatrics Neonatal-Perinatal Medicine

$4.6M
161780676650$4.6M
171255354130$4.2M
181245898683$3.8M
191790241222$3.5M
201316044027$3.4M

Showing top 20 of 841 providers billing this code