#4506 of 11K

32555

HCPCS Procedure Code

HCPCS code 32555 is the #4,506 most-billed Medicaid procedure code, with $543K in payments across 12K claims from 2018–2024. The national median cost per claim is $48.54. Costs vary widely — the 90th percentile is $104.58 per claim, 2.2× the median.

Total Paid

$543K

0.00% of all spending

Total Claims

12K

Providers

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 32555? Based on 55 providers billing this code nationally.

Median

$48.54

Average

$52.84

Std Dev

$39.53

Max

$186.01

Percentile Distribution (Cost per Claim)

p10

$13.09

p25

$26.45

Median

$48.54

p75

$61.23

p90

$104.58

p95

$132.28

p99

$181.40

50% of providers bill between $26.45 and $61.23 per claim for this code.

90% bill between $13.09 and $104.58.

Top 1% bill above $181.40.

About This Procedure

HCPCS code 32555 was billed by 56 providers across 12K claims, totaling $543K in Medicaid payments from 2018–2024. This code was used for 9,145 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.54

Providers Billing

National Spending

$543K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 32555

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1740283324	$120K	$59.63	1.2× median	Above Median
2	1487608931	$81K	$40.44	0.8× median	Below Median
3	1376719666	$65K	$48.09	1.0× median	Below Median
4	1144872052	$35K	$45.03	0.9× median	Below Median
5	1033745708	$27K	$63.83	1.3× median	Above 75th
6	1639172372	$27K	$38.86	0.8× median	Below Median
7	1679529978	$26K	$57.88	1.2× median	Above Median
8	1033215710	$19K	$120.73	2.5× median	Top 10%
9	1558539130	$16K	$48.61	1.0× median	Above Median
10	1750751566	$15K	$96.55	2.0× median	Above 75th
11	1093772527	$10K	$129.46	2.7× median	Top 10%
12	1326450156	$8K	$27.62	0.6× median	Below Median
13	1902896236	$8K	$102.35	2.1× median	Above 75th
14	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$7K	$56.23	1.2× median	Above Median
15	1982605432	$7K	$48.54	1.0× median	Below Median
16	1437305737	$6K	$27.46	0.6× median	Below Median
17	William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease	$6K	$59.28	1.2× median	Above Median
18	1336192665	$5K	$25.69	0.5× median	Below Median
19	1376637264	$5K	$11.60	0.2× median	Below Median
20	1073827101	$5K	$59.27	1.2× median	Above Median

Showing top 20 of 56 providers billing this code

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