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#5333 of 11K

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)

p10
$19.45
p25
$33.20
Median
$57.36
p75
$82.03
p90
$103.92
p95
$129.02
p99
$230.56

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

#ProviderTotal Paid
11417907940$66K
21437292927$51K
31558388165$20K
41699860346$19K
5Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$10K
61659558666$10K
71801078787$9K
81235107566$7K
9Spartanburg Medical Center

Spartanburg, SC · Ambulance

$6K
101508968751$4K
111902846306$3K
12Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$3K
131477946994$2K
141346403854$2K
151376764167$1K
161013963982$1K
17Community Medical Associates, Inc.

Louisville, KY · Clinical Neuropsychologist

$1K
181952023210$1K
19Stanford Health Care

Stanford, CA · General Acute Care Hospital

$1K
201386762300$1K

Showing top 20 of 31 providers billing this code

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