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#2793 of 11K

15275

HCPCS Procedure Code

HCPCS code 15275 is the #2,793 most-billed Medicaid procedure code, with $3.6M in payments across 25K claims from 2018–2024. The national median cost per claim is $51.83. Costs vary widely — the 90th percentile is $517.78 per claim, 10.0× the median.

Total Paid

$3.6M

0.00% of all spending

Total Claims

25K

Providers

69

Avg Cost/Claim

$143

National Cost Distribution

How much do providers bill per claim for 15275? Based on 66 providers billing this code nationally.

Median

$51.83

Average

$194.10

Std Dev

$401.74

Max

$2,380.10

Percentile Distribution (Cost per Claim)

p10
$14.61
p25
$28.20
Median
$51.83
p75
$131.21
p90
$517.78
p95
$1,069.85
p99
$1,748.16

50% of providers bill between $28.20 and $131.21 per claim for this code.

90% bill between $14.61 and $517.78.

Top 1% bill above $1,748.16.

About This Procedure

HCPCS code 15275 was billed by 69 providers across 25K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$51.83

Providers Billing

66

National Spending

$3.6M

Avg/Median Ratio

3.74×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 15275

#ProviderTotal Paid
11710109186$740K
2Bridgeport Hospital

Bridgeport, CT · General Acute Care Hospital

$594K
31013013002$317K
41134220031$289K
51508911892$278K
61588132062$270K
71891376810$149K
81689041055$107K
9Foot & Wound Care Of Indio

Indio, CA

$103K
101598875460$72K
111609328129$69K
12The William W Backus Hospital

Norwich, CT · Clinic/Center, Emergency Care

$57K
131942749387$47K
141225707748$45K
151871095190$42K
161215927470$41K
171619194446$26K
181740227909$25K
19The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$23K
201306959721$22K

Showing top 20 of 69 providers billing this code