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#5813 of 11K

23500

HCPCS Procedure Code

HCPCS code 23500 is the #5,813 most-billed Medicaid procedure code, with $134K in payments across 1,855 claims from 2018–2024. The national median cost per claim is $66.38. Costs vary widely — the 90th percentile is $361.82 per claim, 5.5× the median.

Total Paid

$134K

0.00% of all spending

Total Claims

1,855

Providers

11

Avg Cost/Claim

$72

National Cost Distribution

How much do providers bill per claim for 23500? Based on 10 providers billing this code nationally.

Median

$66.38

Average

$142.41

Std Dev

$164.37

Max

$530.68

Percentile Distribution (Cost per Claim)

p10
$38.94
p25
$45.32
Median
$66.38
p75
$127.97
p90
$361.82
p95
$446.25
p99
$513.79

50% of providers bill between $45.32 and $127.97 per claim for this code.

90% bill between $38.94 and $361.82.

Top 1% bill above $513.79.

About This Procedure

HCPCS code 23500 was billed by 11 providers across 1,855 claims, totaling $134K in Medicaid payments from 2018–2024. This code was used for 1,789 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$66.38

Providers Billing

10

National Spending

$134K

Avg/Median Ratio

2.15×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 23500

#ProviderTotal Paid
11942300918$49K
21437555265$38K
3Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$22K
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$12K
51689632374$4K
61093756025$4K
71922578822$3K
81073827101$2K
9Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$976
101669617197$530
111720271513$0

Showing top 11 of 11 providers billing this code