13152
HCPCS Procedure Code
HCPCS code 13152 is the #3,976 most-billed Medicaid procedure code, with $965K in payments across 1,983 claims from 2018–2024. The national median cost per claim is $486.94. Costs vary widely — the 90th percentile is $1,937.36 per claim, 4.0× the median.
Total Paid
$965K
0.00% of all spending
Total Claims
1,983
Providers
9
Avg Cost/Claim
$487
National Cost Distribution
How much do providers bill per claim for 13152? Based on 9 providers billing this code nationally.
Median
$486.94
Average
$773.77
Std Dev
$683.87
Max
$2,007.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $440.10 and $606.68 per claim for this code.
90% bill between $279.67 and $1,937.36.
Top 1% bill above $2,000.30.
About This Procedure
HCPCS code 13152 was billed by 9 providers across 1,983 claims, totaling $965K in Medicaid payments from 2018–2024. This code was used for 1,796 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$486.94
Providers Billing
9
National Spending
$965K
Avg/Median Ratio
1.59×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 13152
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558452730 | $671K |
| 2 | 1962678771 | $94K |
| 3 | 1093068611 | $65K |
| 4 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $52K |
| 5 | 1225271869 | $50K |
| 6 | 1053697896 | $14K |
| 7 | 1063983054 | $8K |
| 8 | 1942954623 | $7K |
| 9 | 1285680496 | $5K |
Showing top 9 of 9 providers billing this code