37238
HCPCS Procedure Code
HCPCS code 37238 is the #2,533 most-billed Medicaid procedure code, with $5.1M in payments across 3K claims from 2018–2024. The national median cost per claim is $912.05. Costs vary widely — the 90th percentile is $3,243.33 per claim, 3.6× the median.
Total Paid
$5.1M
0.00% of all spending
Total Claims
3K
Providers
12
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 37238? Based on 12 providers billing this code nationally.
Median
$912.05
Average
$1,694.97
Std Dev
$2,132.54
Max
$7,493.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $348.05 and $2,103.86 per claim for this code.
90% bill between $91.84 and $3,243.33.
Top 1% bill above $7,028.13.
About This Procedure
HCPCS code 37238 was billed by 12 providers across 3K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$912.05
Providers Billing
12
National Spending
$5.1M
Avg/Median Ratio
1.86×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 37238
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700331196 | $2.3M |
| 2 | 1154356087 | $2.2M |
| 3 | 1598766495 | $187K |
| 4 | 1386935781 | $150K |
| 5 | 1255899704 | $111K |
| 6 | 1912264862 | $82K |
| 7 | 1306876065 | $28K |
| 8 | 1689825499 | $23K |
| 9 | 1720423478 | $14K |
| 10 | 1396087672 | $6K |
| 11 | 1699833327 | $5K |
| 12 | 1912435173 | $3K |
Showing top 12 of 12 providers billing this code