31653
HCPCS Procedure Code
HCPCS code 31653 is the #4,541 most-billed Medicaid procedure code, with $525K in payments across 423 claims from 2018–2024. The national median cost per claim is $165.40. Costs vary widely — the 90th percentile is $1,088.61 per claim, 6.6× the median.
Total Paid
$525K
0.00% of all spending
Total Claims
423
Providers
6
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 31653? Based on 5 providers billing this code nationally.
Median
$165.40
Average
$464.43
Std Dev
$649.42
Max
$1,619.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $129.84 and $292.38 per claim for this code.
90% bill between $121.01 and $1,088.61.
Top 1% bill above $1,566.34.
About This Procedure
HCPCS code 31653 was billed by 6 providers across 423 claims, totaling $525K in Medicaid payments from 2018–2024. This code was used for 387 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$165.40
Providers Billing
5
National Spending
$525K
Avg/Median Ratio
2.81×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 31653
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $502K |
| 2 | Our Lady Of The Lake Physician Group Llc Baton Rouge, LA · Allergy & Immunology | $18K |
| 3 | 1730691775 | $2K |
| 4 | 1619230802 | $2K |
| 5 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $2K |
| 6 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $0 |
Showing top 6 of 6 providers billing this code