Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4377 of 11K

28470

HCPCS Procedure Code

HCPCS code 28470 is the #4,377 most-billed Medicaid procedure code, with $624K in payments across 3,644 claims from 2018–2024. The national median cost per claim is $175.99.

Total Paid

$624K

0.00% of all spending

Total Claims

3,644

Providers

22

Avg Cost/Claim

$171

National Cost Distribution

How much do providers bill per claim for 28470? Based on 21 providers billing this code nationally.

Median

$175.99

Average

$194.98

Std Dev

$125.46

Max

$460.25

Percentile Distribution (Cost per Claim)

p10
$69.48
p25
$93.16
Median
$175.99
p75
$277.93
p90
$307.70
p95
$450.31
p99
$458.26

50% of providers bill between $93.16 and $277.93 per claim for this code.

90% bill between $69.48 and $307.70.

Top 1% bill above $458.26.

About This Procedure

HCPCS code 28470 was billed by 22 providers across 3,644 claims, totaling $624K in Medicaid payments from 2018–2024. This code was used for 2,948 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$175.99

Providers Billing

21

National Spending

$624K

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 28470

#ProviderTotal Paid
1Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$276K
21942300918$136K
3Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$47K
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$47K
51700991403$27K
6The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$18K
7Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$17K
8Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$9K
91083738637$8K
101689632374$7K
111073827101$7K
12Akron General Medical Center

Akron, OH · General Acute Care Hospital

$6K
13Montefiore Medical Center

Bronx, NY · Anesthesiology

$4K
141528017654$3K
151407898299$3K
161013001221$3K
17William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$2K
181447425590$2K
191215930490$2K
20Kern County Hospital Authority

Bakersfield, CA · General Acute Care Hospital

$1K

Showing top 20 of 22 providers billing this code

Related Procedures