52000
HCPCS Procedure Code
HCPCS code 52000 is the #963 most-billed Medicaid procedure code, with $53.0M in payments across 279K claims from 2018–2024. The national median cost per claim is $89.88. Costs vary widely — the 90th percentile is $341.56 per claim, 3.8× the median.
Total Paid
$53.0M
0.00% of all spending
Total Claims
279K
Providers
821
Avg Cost/Claim
$190
National Cost Distribution
How much do providers bill per claim for 52000? Based on 804 providers billing this code nationally.
Median
$89.88
Average
$153.89
Std Dev
$200.23
Max
$1,833.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $51.80 and $161.09 per claim for this code.
90% bill between $33.40 and $341.56.
Top 1% bill above $1,057.56.
About This Procedure
HCPCS code 52000 was billed by 821 providers across 279K claims, totaling $53.0M in Medicaid payments from 2018–2024. This code was used for 259K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.88
Providers Billing
804
National Spending
$53.0M
Avg/Median Ratio
1.71×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 52000
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $2.5M |
| 2 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2.0M |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1.7M |
| 4 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.4M |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.4M |
| 6 | 1053373480 | $1.3M |
| 7 | University Of Rochester Rochester, NY · General Acute Care Hospital | $1.1M |
| 8 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.1M |
| 9 | 1588328918 | $1.1M |
| 10 | 1245346923 | $1.0M |
| 11 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $996K |
| 12 | 1447272372 | $985K |
| 13 | 1548567498 | $959K |
| 14 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $883K |
| 15 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $879K |
| 16 | 1366459570 | $867K |
| 17 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $850K |
| 18 | University Of Washington Seattle, WA · Clinic/Center, Dental | $752K |
| 19 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $705K |
| 20 | 1053441907 | $703K |
Showing top 20 of 821 providers billing this code