#3887 of 11K

31720

HCPCS Procedure Code

HCPCS code 31720 is the #3,887 most-billed Medicaid procedure code, with $1.1M in payments across 24K claims from 2018–2024. The national median cost per claim is $39.83. Costs vary widely — the 90th percentile is $139.42 per claim, 3.5× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

24K

Providers

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for 31720? Based on 68 providers billing this code nationally.

Median

$39.83

Average

$61.04

Std Dev

$69.03

Max

$359.65

Percentile Distribution (Cost per Claim)

p10

$3.68

p25

$17.36

Median

$39.83

p75

$89.07

p90

$139.42

p95

$210.93

p99

$288.03

50% of providers bill between $17.36 and $89.07 per claim for this code.

90% bill between $3.68 and $139.42.

Top 1% bill above $288.03.

About This Procedure

HCPCS code 31720 was billed by 81 providers across 24K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.83

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.53×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 31720

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$541K	$112.98	2.8× median	Above 75th
2	1447299649	$104K	$39.12	1.0× median	Below Median
3	Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology	$45K	$104.47	2.6× median	Above 75th
4	Wakemed Raleigh, NC · General Acute Care Hospital	$34K	$44.48	1.1× median	Above Median
5	1205882503	$32K	$129.38	3.2× median	Above 75th
6	1366008294	$26K	$43.44	1.1× median	Above Median
7	1548205818	$20K	$26.69	0.7× median	Below Median
8	1245221050	$16K	$25.25	0.6× median	Below Median
9	1518916451	$16K	$34.67	0.9× median	Below Median
10	1164993457	$14K	$138.03	3.5× median	Above 75th
11	Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital	$13K	$12.26	0.3× median	Below Median
12	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$13K	$4.03	0.1× median	Below Median
13	1154400232	$12K	$40.53	1.0× median	Above Median
14	1598875460	$11K	$133.47	3.4× median	Above 75th
15	Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital	$11K	$95.19	2.4× median	Above 75th
16	1043722259	$11K	$29.57	0.7× median	Below Median
17	University Of Utah Salt Lake City, UT · Clinic/Center, Dental	$10K	$52.78	1.3× median	Above Median
18	Christus Santa Rosa Health Care Corporation San Antonio, TX · General Acute Care Hospital	$9K	$88.99	2.2× median	Above Median
19	1184233785	$8K	$252.76	6.3× median	Top 10%
20	Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital	$8K	$242.01	6.1× median	Top 10%

Showing top 20 of 81 providers billing this code

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