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#2797 of 11K

24538

HCPCS Procedure Code

HCPCS code 24538 is the #2,797 most-billed Medicaid procedure code, with $3.6M in payments across 1K claims from 2018–2024. The national median cost per claim is $2,898.22. Costs vary widely — the 90th percentile is $6,019.19 per claim, 2.1× the median.

Total Paid

$3.6M

0.00% of all spending

Total Claims

1K

Providers

17

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for 24538? Based on 16 providers billing this code nationally.

Median

$2,898.22

Average

$3,063.33

Std Dev

$2,391.51

Max

$7,765.02

Percentile Distribution (Cost per Claim)

p10
$359.69
p25
$1,119.58
Median
$2,898.22
p75
$4,572.01
p90
$6,019.19
p95
$7,146.57
p99
$7,641.33

50% of providers bill between $1,119.58 and $4,572.01 per claim for this code.

90% bill between $359.69 and $6,019.19.

Top 1% bill above $7,641.33.

About This Procedure

HCPCS code 24538 was billed by 17 providers across 1K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,898.22

Providers Billing

16

National Spending

$3.6M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 24538

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.6M
2Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$704K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$241K
4Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$231K
5Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$195K
6Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$190K
7Children's Hospital Corporation

Boston, MA · Clinic/Center

$93K
8Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$90K
9Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$66K
101306952726$58K
11Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$29K
12Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$23K
13Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$21K
141902831514$9K
151073827101$6K
161811080526$86
17Ihc Health Services, Inc.

Salt Lake City, UT · Psychiatric Unit

$0

Showing top 17 of 17 providers billing this code

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