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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.6M |
| 2 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $704K |
| 3 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $241K |
| 4 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $231K |
| 5 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $195K |
| 6 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $190K |
| 7 | Children's Hospital Corporation Boston, MA · Clinic/Center | $93K |
| 8 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $90K |
| 9 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $66K |
| 10 | 1306952726 | $58K |
| 11 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $29K |
| 12 | Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children | $23K |
| 13 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $21K |
| 14 | 1902831514 | $9K |
| 15 | 1073827101 | $6K |
| 16 | 1811080526 | $86 |
| 17 | Ihc Health Services, Inc. Salt Lake City, UT · Psychiatric Unit | $0 |
Showing top 17 of 17 providers billing this code