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#2575 of 11K

31525

HCPCS Procedure Code

HCPCS code 31525 is the #2,575 most-billed Medicaid procedure code, with $4.9M in payments across 82K claims from 2018–2024. The national median cost per claim is $122.50.

Total Paid

$4.9M

0.00% of all spending

Total Claims

82K

Providers

30

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 31525? Based on 30 providers billing this code nationally.

Median

$122.50

Average

$126.13

Std Dev

$72.47

Max

$276.42

Percentile Distribution (Cost per Claim)

p10
$40.73
p25
$64.83
Median
$122.50
p75
$175.00
p90
$212.74
p95
$248.02
p99
$270.71

50% of providers bill between $64.83 and $175.00 per claim for this code.

90% bill between $40.73 and $212.74.

Top 1% bill above $270.71.

About This Procedure

HCPCS code 31525 was billed by 30 providers across 82K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 81K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$122.50

Providers Billing

30

National Spending

$4.9M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31525

#ProviderTotal Paid
11831298751$3.1M
21295713055$490K
31447480918$357K
41841513835$309K
51598771834$166K
61760474092$95K
71699468322$68K
81013140383$63K
91811962673$40K
101568403111$32K
111407575442$27K
121508874876$17K
131356033757$12K
141124118229$9K
151942269543$9K
161235108325$9K
171285716886$9K
181932492626$8K
191447510854$7K
201033133525$7K

Showing top 20 of 30 providers billing this code

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