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#8423 of 11K

31654

HCPCS Procedure Code

HCPCS code 31654 is the #8,423 most-billed Medicaid procedure code, with $3K in payments across 119 claims from 2018–2024. The national median cost per claim is $17.01. Costs vary widely — the 90th percentile is $46.28 per claim, 2.7× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

119

Providers

5

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 31654? Based on 3 providers billing this code nationally.

Median

$17.01

Average

$27.19

Std Dev

$23.07

Max

$53.60

Percentile Distribution (Cost per Claim)

p10
$12.16
p25
$13.98
Median
$17.01
p75
$35.31
p90
$46.28
p95
$49.94
p99
$52.87

50% of providers bill between $13.98 and $35.31 per claim for this code.

90% bill between $12.16 and $46.28.

Top 1% bill above $52.87.

About This Procedure

HCPCS code 31654 was billed by 5 providers across 119 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 95 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.01

Providers Billing

3

National Spending

$3K

Avg/Median Ratio

1.60×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 31654

#ProviderTotal Paid
1Our Lady Of The Lake Physician Group Llc

Baton Rouge, LA · Allergy & Immunology

$3K
21003882812$255
31043260474$197
4Summa Health System

Akron, OH · General Acute Care Hospital

$0
5Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$0

Showing top 5 of 5 providers billing this code