31256
HCPCS Procedure Code
HCPCS code 31256 is the #5,424 most-billed Medicaid procedure code, with $202K in payments across 320 claims from 2018–2024. The national median cost per claim is $111.01. Costs vary widely — the 90th percentile is $1,665.61 per claim, 15.0× the median.
Total Paid
$202K
0.00% of all spending
Total Claims
320
Providers
9
Avg Cost/Claim
$632
National Cost Distribution
How much do providers bill per claim for 31256? Based on 9 providers billing this code nationally.
Median
$111.01
Average
$468.00
Std Dev
$701.37
Max
$1,762.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $97.64 and $201.23 per claim for this code.
90% bill between $86.71 and $1,665.61.
Top 1% bill above $1,753.13.
About This Procedure
HCPCS code 31256 was billed by 9 providers across 320 claims, totaling $202K in Medicaid payments from 2018–2024. This code was used for 270 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$111.01
Providers Billing
9
National Spending
$202K
Avg/Median Ratio
4.22×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 31256
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720390289 | $116K |
| 2 | 1154310514 | $62K |
| 3 | 1386648798 | $8K |
| 4 | 1710901178 | $5K |
| 5 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $4K |
| 6 | 1194060350 | $3K |
| 7 | 1629398219 | $2K |
| 8 | 1083759641 | $1K |
| 9 | 1942489042 | $746 |
Showing top 9 of 9 providers billing this code