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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053697896 | $225K |
| 2 | 1093068611 | $43K |
| 3 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $24K |
| 4 | 1225271869 | $11K |
| 5 | 1073662946 | $11K |
| 6 | 1720110968 | $7K |
| 7 | 1972504587 | $6K |
| 8 | 1740410182 | $5K |
| 9 | 1134349954 | $4K |
| 10 | 1558452730 | $3K |
Showing top 10 of 10 providers billing this code