#3872 of 11K

50200

HCPCS Procedure Code

HCPCS code 50200 is the #3,872 most-billed Medicaid procedure code, with $1.1M in payments across 2,502 claims from 2018–2024. The national median cost per claim is $237.91. Costs vary widely — the 90th percentile is $791.29 per claim, 3.3× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

2,502

Providers

Avg Cost/Claim

$426

National Cost Distribution

How much do providers bill per claim for 50200? Based on 21 providers billing this code nationally.

Median

$237.91

Average

$338.03

Std Dev

$333.06

Max

$1,169.28

Percentile Distribution (Cost per Claim)

p10

$48.14

p25

$61.65

Median

$237.91

p75

$476.51

p90

$791.29

p95

$921.44

p99

$1,119.71

50% of providers bill between $61.65 and $476.51 per claim for this code.

90% bill between $48.14 and $791.29.

Top 1% bill above $1,119.71.

About This Procedure

HCPCS code 50200 was billed by 22 providers across 2,502 claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 2,228 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$237.91

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 50200

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$444K	$692.67	2.9× median	Above 75th
2	1154392231	$323K	$476.51	2.0× median	Above 75th
3	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$87K	$379.69	1.6× median	Above Median
4	Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic	$61K	$467.74	2.0× median	Above Median
5	University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital	$40K	$103.46	0.4× median	Below Median
6	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$30K	$791.29	3.3× median	Above 75th
7	Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital	$18K	$655.87	2.8× median	Above 75th
8	The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital	$14K	$1,169.28	4.9× median	Top 1%
9	Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital	$13K	$921.44	3.9× median	Top 10%
10	Yale University New Haven, CT · Internal Medicine	$10K	$243.52	1.0× median	Above Median
11	Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder	$7K	$187.52	0.8× median	Below Median
12	University Of Colorado Hospital Authority Aurora, CO · General Acute Care Hospital	$4K	$176.51	0.7× median	Below Median
13	University Of Washington Seattle, WA · Clinic/Center, Dental	$4K	$254.99	1.1× median	Above Median
14	1669499414	$3K	$48.14	0.2× median	Below Median
15	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$3K	$237.91	1.0× median	Below Median
16	1740283324	$2K	$61.65	0.3× median	Below Median
17	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$943	$34.94	0.1× median	Below Median
18	1982652335	$855	$65.75	0.3× median	Below Median
19	University Physicians Incorporated Aurora, CO · Anesthesiology	$773	$51.51	0.2× median	Below Median
20	1508942681	$771	$55.08	0.2× median	Below Median

Showing top 20 of 22 providers billing this code

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