#1446 of 11K

17380

HCPCS Procedure Code

HCPCS code 17380 is the #1,446 most-billed Medicaid procedure code, with $23.0M in payments across 87K claims from 2018–2024. The national median cost per claim is $216.40. Costs vary widely — the 90th percentile is $475.53 per claim, 2.2× the median.

Total Paid

$23.0M

0.00% of all spending

Total Claims

87K

Providers

Avg Cost/Claim

$264

National Cost Distribution

How much do providers bill per claim for 17380? Based on 34 providers billing this code nationally.

Median

$216.40

Average

$377.09

Std Dev

$579.71

Max

$2,597.09

Percentile Distribution (Cost per Claim)

p10

$62.14

p25

$162.77

Median

$216.40

p75

$300.44

p90

$475.53

p95

$1,468.88

p99

$2,576.61

50% of providers bill between $162.77 and $300.44 per claim for this code.

90% bill between $62.14 and $475.53.

Top 1% bill above $2,576.61.

About This Procedure

HCPCS code 17380 was billed by 36 providers across 87K claims, totaling $23.0M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$216.40

Providers Billing

National Spending

$23.0M

Avg/Median Ratio

1.74×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 17380

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1740715150	$6.1M	$294.61	1.4× median	Above Median
2	1902256712	$3.1M	$280.91	1.3× median	Above Median
3	1447740824	$2.3M	$251.79	1.2× median	Above Median
4	1588146302	$2.3M	$338.65	1.6× median	Above 75th
5	1316645427	$1.4M	$2,535.03	11.7× median	Top 10%
6	1225783624	$873K	$476.13	2.2× median	Top 10%
7	1710390919	$806K	$203.59	0.9× median	Below Median
8	1184188476	$694K	$260.96	1.2× median	Above Median
9	1861046195	$579K	$2,597.09	12.0× median	Top 1%
10	1861983884	$531K	$474.11	2.2× median	Above 75th
11	1669021150	$496K	$446.37	2.1× median	Above 75th
12	1437618832	$465K	$180.19	0.8× median	Below Median
13	1699265348	$420K	$217.38	1.0× median	Above Median
14	Oregon Health & Science University Portland, OR · General Practice	$409K	$302.39	1.4× median	Above 75th
15	1477783827	$393K	$283.79	1.3× median	Above Median
16	1952574642	$374K	$54.65	0.3× median	Below Median
17	1962990176	$357K	$133.20	0.6× median	Below Median
18	1740841436	$247K	$894.80	4.1× median	Top 10%
19	1174028930	$192K	$72.36	0.3× median	Below Median
20	1417690959	$185K	$160.80	0.7× median	Below Median

Showing top 20 of 36 providers billing this code

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