H0007
HCPCS Procedure Code
HCPCS code H0007 is the #1,341 most-billed Medicaid procedure code, with $26.7M in payments across 102K claims from 2018–2024. The national median cost per claim is $71.08. Costs vary widely — the 90th percentile is $810.22 per claim, 11.4× the median.
Total Paid
$26.7M
0.00% of all spending
Total Claims
102K
Providers
52
Avg Cost/Claim
$262
National Cost Distribution
How much do providers bill per claim for H0007? Based on 49 providers billing this code nationally.
Median
$71.08
Average
$267.41
Std Dev
$339.68
Max
$1,185.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.02 and $475.38 per claim for this code.
90% bill between $21.51 and $810.22.
Top 1% bill above $1,180.92.
About This Procedure
HCPCS code H0007 was billed by 52 providers across 102K claims, totaling $26.7M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$71.08
Providers Billing
49
National Spending
$26.7M
Avg/Median Ratio
3.76×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0007
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235782657 | $10.4M |
| 2 | Alliance Healthcare Services Memphis, TN · Community/Behavioral Health | $3.3M |
| 3 | 1043886369 | $2.0M |
| 4 | 1346466232 | $1.8M |
| 5 | 1437273000 | $1.7M |
| 6 | 1699392258 | $1.1M |
| 7 | 1679514236 | $865K |
| 8 | 1346500626 | $809K |
| 9 | 1346207503 | $795K |
| 10 | 1235347527 | $689K |
| 11 | Kenaitze Indian Tribe Kenai, AK · Community/Behavioral Health | $496K |
| 12 | 1174171417 | $437K |
| 13 | 1831502822 | $423K |
| 14 | 1902439680 | $412K |
| 15 | 1073841789 | $171K |
| 16 | 1528062429 | $156K |
| 17 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $144K |
| 18 | 1720309693 | $137K |
| 19 | 1548245871 | $109K |
| 20 | 1154594216 | $85K |
Showing top 20 of 52 providers billing this code