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#963 of 11K

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)

p10
$33.40
p25
$51.80
Median
$89.88
p75
$161.09
p90
$341.56
p95
$573.26
p99
$1,057.56

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

#ProviderTotal Paid
1Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2.5M
2Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$2.0M
3Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$1.7M
4Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.4M
5The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$1.4M
61053373480$1.3M
7University Of Rochester

Rochester, NY · General Acute Care Hospital

$1.1M
8Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.1M
91588328918$1.1M
101245346923$1.0M
11Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$996K
121447272372$985K
131548567498$959K
14Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$883K
15The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$879K
161366459570$867K
17Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$850K
18University Of Washington

Seattle, WA · Clinic/Center, Dental

$752K
19Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$705K
201053441907$703K

Showing top 20 of 821 providers billing this code

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