31579
HCPCS Procedure Code
HCPCS code 31579 is the #1,595 most-billed Medicaid procedure code, with $18.2M in payments across 107K claims from 2018–2024. The national median cost per claim is $120.24. Costs vary widely — the 90th percentile is $262.80 per claim, 2.2× the median.
Total Paid
$18.2M
0.00% of all spending
Total Claims
107K
Providers
222
Avg Cost/Claim
$170
National Cost Distribution
How much do providers bill per claim for 31579? Based on 222 providers billing this code nationally.
Median
$120.24
Average
$151.51
Std Dev
$120.33
Max
$752.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $82.17 and $181.19 per claim for this code.
90% bill between $57.56 and $262.80.
Top 1% bill above $693.15.
About This Procedure
HCPCS code 31579 was billed by 222 providers across 107K claims, totaling $18.2M in Medicaid payments from 2018–2024. This code was used for 100K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$120.24
Providers Billing
222
National Spending
$18.2M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 31579
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.2M |
| 2 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $1.1M |
| 3 | University Of Washington Seattle, WA · Clinic/Center, Dental | $841K |
| 4 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $822K |
| 5 | 1639189236 | $734K |
| 6 | 1538407176 | $693K |
| 7 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $580K |
| 8 | 1639101751 | $552K |
| 9 | 1376598326 | $479K |
| 10 | 1134620735 | $454K |
| 11 | 1508266347 | $440K |
| 12 | 1093794604 | $317K |
| 13 | University Of Colorado Hospital Authority Aurora, CO · General Acute Care Hospital | $304K |
| 14 | 1275563447 | $303K |
| 15 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $282K |
| 16 | North Shore-lij Medical Pc Great Neck, NY · Urology | $276K |
| 17 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $269K |
| 18 | 1295748499 | $269K |
| 19 | 1679509962 | $251K |
| 20 | 1275583205 | $246K |
Showing top 20 of 222 providers billing this code