31645
HCPCS Procedure Code
HCPCS code 31645 is the #5,333 most-billed Medicaid procedure code, with $226K in payments across 2,649 claims from 2018–2024. The national median cost per claim is $57.36.
Total Paid
$226K
0.00% of all spending
Total Claims
2,649
Providers
31
Avg Cost/Claim
$85
National Cost Distribution
How much do providers bill per claim for 31645? Based on 31 providers billing this code nationally.
Median
$57.36
Average
$66.41
Std Dev
$48.55
Max
$265.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.20 and $82.03 per claim for this code.
90% bill between $19.45 and $103.92.
Top 1% bill above $230.56.
About This Procedure
HCPCS code 31645 was billed by 31 providers across 2,649 claims, totaling $226K in Medicaid payments from 2018–2024. This code was used for 2,338 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$57.36
Providers Billing
31
National Spending
$226K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 31645
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417907940 | $66K |
| 2 | 1437292927 | $51K |
| 3 | 1558388165 | $20K |
| 4 | 1699860346 | $19K |
| 5 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $10K |
| 6 | 1659558666 | $10K |
| 7 | 1801078787 | $9K |
| 8 | 1235107566 | $7K |
| 9 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $6K |
| 10 | 1508968751 | $4K |
| 11 | 1902846306 | $3K |
| 12 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $3K |
| 13 | 1477946994 | $2K |
| 14 | 1346403854 | $2K |
| 15 | 1376764167 | $1K |
| 16 | 1013963982 | $1K |
| 17 | Community Medical Associates, Inc. Louisville, KY · Clinical Neuropsychologist | $1K |
| 18 | 1952023210 | $1K |
| 19 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $1K |
| 20 | 1386762300 | $1K |
Showing top 20 of 31 providers billing this code