#2386 of 11K

29580

HCPCS Procedure Code

HCPCS code 29580 is the #2,386 most-billed Medicaid procedure code, with $6.2M in payments across 163K claims from 2018–2024. The national median cost per claim is $26.60. Costs vary widely — the 90th percentile is $90.52 per claim, 3.4× the median.

Total Paid

$6.2M

0.00% of all spending

Total Claims

163K

Providers

263

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for 29580? Based on 257 providers billing this code nationally.

Median

$26.60

Average

$41.92

Std Dev

$57.82

Max

$586.32

Percentile Distribution (Cost per Claim)

p10

$5.44

p25

$15.69

Median

$26.60

p75

$45.33

p90

$90.52

p95

$127.72

p99

$261.29

50% of providers bill between $15.69 and $45.33 per claim for this code.

90% bill between $5.44 and $90.52.

Top 1% bill above $261.29.

About This Procedure

HCPCS code 29580 was billed by 263 providers across 163K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 78K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.60

Providers Billing

257

National Spending

$6.2M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 29580

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1659387975	$484K	$215.98	8.1× median	Top 10%
2	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$395K	$55.28	2.1× median	Above 75th
3	Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology	$366K	$169.65	6.4× median	Top 10%
4	1942288527	$306K	$172.22	6.5× median	Top 10%
5	1124136593	$255K	$65.16	2.4× median	Above 75th
6	1114177979	$214K	$18.70	0.7× median	Below Median
7	Hmh Hospitals Corporation Edison, NJ · General Acute Care Hospital	$182K	$53.71	2.0× median	Above 75th
8	1700886322	$176K	$213.84	8.0× median	Top 10%
9	Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health	$174K	$53.75	2.0× median	Above 75th
10	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$138K	$36.45	1.4× median	Above Median
11	1689749491	$132K	$44.50	1.7× median	Above Median
12	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$130K	$83.82	3.2× median	Above 75th
13	1790876506	$130K	$10.15	0.4× median	Below Median
14	1447226584	$129K	$35.72	1.3× median	Above Median
15	1023415288	$110K	$33.06	1.2× median	Above Median
16	1710999792	$110K	$21.02	0.8× median	Below Median
17	New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine	$107K	$74.76	2.8× median	Above 75th
18	Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital	$103K	$64.07	2.4× median	Above 75th
19	Summa Health System Akron, OH · General Acute Care Hospital	$101K	$105.71	4.0× median	Top 10%
20	1356472039	$94K	$33.39	1.3× median	Above Median

Showing top 20 of 263 providers billing this code

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