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#4962 of 11K

13131

HCPCS Procedure Code

HCPCS code 13131 is the #4,962 most-billed Medicaid procedure code, with $338K in payments across 989 claims from 2018–2024. The national median cost per claim is $265.87.

Total Paid

$338K

0.00% of all spending

Total Claims

989

Providers

10

Avg Cost/Claim

$342

National Cost Distribution

How much do providers bill per claim for 13131? Based on 10 providers billing this code nationally.

Median

$265.87

Average

$310.00

Std Dev

$127.15

Max

$587.74

Percentile Distribution (Cost per Claim)

p10
$198.58
p25
$213.92
Median
$265.87
p75
$387.56
p90
$433.55
p95
$510.64
p99
$572.32

50% of providers bill between $213.92 and $387.56 per claim for this code.

90% bill between $198.58 and $433.55.

Top 1% bill above $572.32.

About This Procedure

HCPCS code 13131 was billed by 10 providers across 989 claims, totaling $338K in Medicaid payments from 2018–2024. This code was used for 979 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$265.87

Providers Billing

10

National Spending

$338K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 13131

#ProviderTotal Paid
11053697896$225K
21093068611$43K
3Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$24K
41225271869$11K
51073662946$11K
61720110968$7K
71972504587$6K
81740410182$5K
91134349954$4K
101558452730$3K

Showing top 10 of 10 providers billing this code

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