20551
HCPCS Procedure Code
HCPCS code 20551 is the #3,401 most-billed Medicaid procedure code, with $1.8M in payments across 82K claims from 2018–2024. The national median cost per claim is $22.83. Costs vary widely — the 90th percentile is $59.97 per claim, 2.6× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
82K
Providers
124
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 20551? Based on 120 providers billing this code nationally.
Median
$22.83
Average
$29.15
Std Dev
$30.26
Max
$214.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.93 and $34.07 per claim for this code.
90% bill between $4.08 and $59.97.
Top 1% bill above $134.12.
About This Procedure
HCPCS code 20551 was billed by 124 providers across 82K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.83
Providers Billing
120
National Spending
$1.8M
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 20551
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639509664 | $465K |
| 2 | 1013332642 | $302K |
| 3 | 1275921660 | $143K |
| 4 | 1154376788 | $71K |
| 5 | 1427165596 | $68K |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $58K |
| 7 | 1801957378 | $52K |
| 8 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $51K |
| 9 | 1952553372 | $47K |
| 10 | 1235123118 | $36K |
| 11 | 1043252513 | $27K |
| 12 | 1194818138 | $26K |
| 13 | 1215375415 | $24K |
| 14 | 1518438811 | $24K |
| 15 | 1023079183 | $23K |
| 16 | 1417909854 | $22K |
| 17 | 1144596206 | $20K |
| 18 | 1407898299 | $19K |
| 19 | 1740708411 | $18K |
| 20 | 1811368244 | $18K |
Showing top 20 of 124 providers billing this code