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#3401 of 11K

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)

p10
$4.08
p25
$10.93
Median
$22.83
p75
$34.07
p90
$59.97
p95
$81.53
p99
$134.12

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

#ProviderTotal Paid
11639509664$465K
21013332642$302K
31275921660$143K
41154376788$71K
51427165596$68K
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$58K
71801957378$52K
8Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$51K
91952553372$47K
101235123118$36K
111043252513$27K
121194818138$26K
131215375415$24K
141518438811$24K
151023079183$23K
161417909854$22K
171144596206$20K
181407898299$19K
191740708411$18K
201811368244$18K

Showing top 20 of 124 providers billing this code