38220
HCPCS Procedure Code
HCPCS code 38220 is the #4,687 most-billed Medicaid procedure code, with $449K in payments across 2,720 claims from 2018–2024. The national median cost per claim is $302.84. Costs vary widely — the 90th percentile is $732.54 per claim, 2.4× the median.
Total Paid
$449K
0.00% of all spending
Total Claims
2,720
Providers
6
Avg Cost/Claim
$165
National Cost Distribution
How much do providers bill per claim for 38220? Based on 6 providers billing this code nationally.
Median
$302.84
Average
$368.29
Std Dev
$311.17
Max
$837.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $152.85 and $558.84 per claim for this code.
90% bill between $69.50 and $732.54.
Top 1% bill above $826.77.
About This Procedure
HCPCS code 38220 was billed by 6 providers across 2,720 claims, totaling $449K in Medicaid payments from 2018–2024. This code was used for 2,425 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$302.84
Providers Billing
6
National Spending
$449K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 38220
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164493847 | $208K |
| 2 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $82K |
| 3 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $82K |
| 4 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $43K |
| 5 | 1184824146 | $30K |
| 6 | 1588862130 | $3K |
Showing top 6 of 6 providers billing this code