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#3229 of 11K

15271

Skin substitute graft, first twenty-five square centimeters

Skin substitute graft, first twenty-five square centimeters is the #3,229 most-billed Medicaid procedure code, with $2.2M in payments across 20K claims from 2018–2024. The national median cost per claim is $33.75. Costs vary widely — the 90th percentile is $649.36 per claim, 19.2× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

20K

Providers

66

Avg Cost/Claim

$108

National Cost Distribution

How much do providers bill per claim for 15271? Based on 58 providers billing this code nationally.

Median

$33.75

Average

$201.16

Std Dev

$419.20

Max

$1,849.41

Percentile Distribution (Cost per Claim)

p10
$2.58
p25
$10.18
Median
$33.75
p75
$83.27
p90
$649.36
p95
$1,256.35
p99
$1,740.47

50% of providers bill between $10.18 and $83.27 per claim for this code.

90% bill between $2.58 and $649.36.

Top 1% bill above $1,740.47.

About This Procedure

HCPCS code 15271 (Skin substitute graft, first twenty-five square centimeters) was billed by 66 providers across 20K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 8,319 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.75

Providers Billing

58

National Spending

$2.2M

Avg/Median Ratio

5.96×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 15271

#ProviderTotal Paid
11588122535$1.1M
21992071476$142K
31649758376$115K
41104571371$98K
51316581440$71K
61235831132$70K
71134178999$67K
8Svmc Holdings, Inc

Bridgeport, CT · General Acute Care Hospital

$63K
91437675980$60K
10District Hospital Partners L P

Washington, DC · Nurse Practitioner, Family

$52K
11Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$48K
121508877473$39K
131598875460$37K
141710109186$37K
151942749387$29K
161306959721$26K
171235609413$17K
181578865861$13K
191154310514$13K
201013013002$12K

Showing top 20 of 66 providers billing this code