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#4368 of 11K

31267

HCPCS Procedure Code

HCPCS code 31267 is the #4,368 most-billed Medicaid procedure code, with $632K in payments across 812 claims from 2018–2024. The national median cost per claim is $516.75.

Total Paid

$632K

0.00% of all spending

Total Claims

812

Providers

7

Avg Cost/Claim

$778

National Cost Distribution

How much do providers bill per claim for 31267? Based on 7 providers billing this code nationally.

Median

$516.75

Average

$535.01

Std Dev

$323.25

Max

$958.37

Percentile Distribution (Cost per Claim)

p10
$157.17
p25
$306.90
Median
$516.75
p75
$767.17
p90
$920.66
p95
$939.51
p99
$954.59

50% of providers bill between $306.90 and $767.17 per claim for this code.

90% bill between $157.17 and $920.66.

Top 1% bill above $954.59.

About This Procedure

HCPCS code 31267 was billed by 7 providers across 812 claims, totaling $632K in Medicaid payments from 2018–2024. This code was used for 616 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$516.75

Providers Billing

7

National Spending

$632K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31267

#ProviderTotal Paid
11306843222$520K
21992706899$60K
31245251222$21K
41336362722$13K
5Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$7K
6Oakwood Healthcare, Inc.

Dearborn, MI · General Acute Care Hospital

$7K
7Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$3K

Showing top 7 of 7 providers billing this code

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