00537
HCPCS Procedure Code
HCPCS code 00537 is the #5,684 most-billed Medicaid procedure code, with $154K in payments across 697 claims from 2018–2024. The national median cost per claim is $109.89. Costs vary widely — the 90th percentile is $375.33 per claim, 3.4× the median.
Total Paid
$154K
0.00% of all spending
Total Claims
697
Providers
15
Avg Cost/Claim
$222
National Cost Distribution
How much do providers bill per claim for 00537? Based on 15 providers billing this code nationally.
Median
$109.89
Average
$167.08
Std Dev
$158.99
Max
$609.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $84.25 and $132.62 per claim for this code.
90% bill between $66.43 and $375.33.
Top 1% bill above $576.87.
About This Procedure
HCPCS code 00537 was billed by 15 providers across 697 claims, totaling $154K in Medicaid payments from 2018–2024. This code was used for 576 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$109.89
Providers Billing
15
National Spending
$154K
Avg/Median Ratio
1.52×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 00537
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053354233 | $88K |
| 2 | 1417994872 | $13K |
| 3 | 1528010428 | $11K |
| 4 | 1972126209 | $10K |
| 5 | 1093767766 | $9K |
| 6 | 1710324041 | $6K |
| 7 | Faculty Physicians And Surgeons Of Llusm Redlands, CA · Pediatrics | $5K |
| 8 | 1407821796 | $2K |
| 9 | 1497797153 | $2K |
| 10 | 1487609475 | $2K |
| 11 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $1K |
| 12 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1K |
| 13 | 1871666479 | $1K |
| 14 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $1K |
| 15 | 1669581997 | $1K |
Showing top 15 of 15 providers billing this code