#3752 of 11K

12032

HCPCS Procedure Code

HCPCS code 12032 is the #3,752 most-billed Medicaid procedure code, with $1.2M in payments across 10K claims from 2018–2024. The national median cost per claim is $109.53. Costs vary widely — the 90th percentile is $220.84 per claim, 2.0× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

10K

Providers

Avg Cost/Claim

$120

National Cost Distribution

How much do providers bill per claim for 12032? Based on 51 providers billing this code nationally.

Median

$109.53

Average

$125.85

Std Dev

$70.64

Max

$304.18

Percentile Distribution (Cost per Claim)

p10

$48.50

p25

$67.69

Median

$109.53

p75

$164.50

p90

$220.84

p95

$260.08

p99

$297.76

50% of providers bill between $67.69 and $164.50 per claim for this code.

90% bill between $48.50 and $220.84.

Top 1% bill above $297.76.

About This Procedure

HCPCS code 12032 was billed by 52 providers across 10K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$109.53

Providers Billing

National Spending

$1.2M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 12032

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1740410182	$125K	$173.45	1.6× median	Above 75th
2	1881023927	$121K	$177.75	1.6× median	Above 75th
3	1003263807	$118K	$220.84	2.0× median	Above 75th
4	1720089279	$84K	$158.01	1.4× median	Above Median
5	1184027104	$83K	$96.11	0.9× median	Below Median
6	1003082090	$74K	$231.45	2.1× median	Top 10%
7	1598108045	$57K	$120.65	1.1× median	Above Median
8	1417047952	$50K	$172.25	1.6× median	Above 75th
9	1861930984	$43K	$163.60	1.5× median	Above Median
10	1568873727	$42K	$63.06	0.6× median	Below Median
11	1699382507	$42K	$45.11	0.4× median	Below Median
12	1083649628	$38K	$154.45	1.4× median	Above Median
13	1184610248	$32K	$97.95	0.9× median	Below Median
14	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$31K	$128.58	1.2× median	Above Median
15	1679507537	$31K	$63.83	0.6× median	Below Median
16	1285746552	$26K	$85.84	0.8× median	Below Median
17	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$17K	$65.05	0.6× median	Below Median
18	1073662946	$17K	$200.80	1.8× median	Above 75th
19	1962692152	$16K	$137.28	1.3× median	Above Median
20	1558553560	$15K	$71.64	0.7× median	Below Median

Showing top 20 of 52 providers billing this code

Related Procedures

12031$221K 12041$13K 12034$8K 12042$2K

← All procedures Top providers →