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#2318 of 11K

14040

HCPCS Procedure Code

HCPCS code 14040 is the #2,318 most-billed Medicaid procedure code, with $6.7M in payments across 20K claims from 2018–2024. The national median cost per claim is $311.85. Costs vary widely — the 90th percentile is $695.95 per claim, 2.2× the median.

Total Paid

$6.7M

0.00% of all spending

Total Claims

20K

Providers

78

Avg Cost/Claim

$342

National Cost Distribution

How much do providers bill per claim for 14040? Based on 77 providers billing this code nationally.

Median

$311.85

Average

$382.96

Std Dev

$300.85

Max

$1,485.00

Percentile Distribution (Cost per Claim)

p10
$124.07
p25
$207.67
Median
$311.85
p75
$454.09
p90
$695.95
p95
$973.78
p99
$1,454.63

50% of providers bill between $207.67 and $454.09 per claim for this code.

90% bill between $124.07 and $695.95.

Top 1% bill above $1,454.63.

About This Procedure

HCPCS code 14040 was billed by 78 providers across 20K claims, totaling $6.7M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$311.85

Providers Billing

77

National Spending

$6.7M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 14040

#ProviderTotal Paid
11275988321$1.2M
21639169774$640K
3North Shore-lij Medical Pc

Great Neck, NY · Urology

$581K
4Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$467K
51134324668$368K
6Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$270K
71861439952$251K
81376593061$221K
9Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$211K
101104877141$165K
111598328932$163K
121831189638$148K
131447200357$110K
141003062043$107K
15Wake Forest University Health Sciences

Winston Salem, NC · Clinic/Center, Multi-Specialty

$93K
16Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$93K
171578803631$92K
181093068611$89K
19Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$88K
201952954307$88K

Showing top 20 of 78 providers billing this code

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