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#4555 of 11K

24530

HCPCS Procedure Code

HCPCS code 24530 is the #4,555 most-billed Medicaid procedure code, with $516K in payments across 3K claims from 2018–2024. The national median cost per claim is $164.73. Costs vary widely — the 90th percentile is $363.27 per claim, 2.2× the median.

Total Paid

$516K

0.00% of all spending

Total Claims

3K

Providers

12

Avg Cost/Claim

$180

National Cost Distribution

How much do providers bill per claim for 24530? Based on 10 providers billing this code nationally.

Median

$164.73

Average

$187.11

Std Dev

$138.32

Max

$486.86

Percentile Distribution (Cost per Claim)

p10
$58.28
p25
$90.38
Median
$164.73
p75
$213.47
p90
$363.27
p95
$425.07
p99
$474.50

50% of providers bill between $90.38 and $213.47 per claim for this code.

90% bill between $58.28 and $363.27.

Top 1% bill above $474.50.

About This Procedure

HCPCS code 24530 was billed by 12 providers across 3K claims, totaling $516K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$164.73

Providers Billing

10

National Spending

$516K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 24530

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$289K
21942300918$141K
31073827101$40K
4Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$23K
51841654407$6K
6Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$6K
71689632374$5K
8Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$2K
91437555265$2K
101710065933$888
111720271513$0
121669617197$0

Showing top 12 of 12 providers billing this code

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