#4507 of 11K

52287

HCPCS Procedure Code

HCPCS code 52287 is the #4,507 most-billed Medicaid procedure code, with $543K in payments across 2,075 claims from 2018–2024. The national median cost per claim is $110.61. Costs vary widely — the 90th percentile is $809.80 per claim, 7.3× the median.

Total Paid

$543K

0.00% of all spending

Total Claims

2,075

Providers

Avg Cost/Claim

$261

National Cost Distribution

How much do providers bill per claim for 52287? Based on 27 providers billing this code nationally.

Median

$110.61

Average

$276.51

Std Dev

$307.59

Max

$903.16

Percentile Distribution (Cost per Claim)

p10

$44.60

p25

$61.96

Median

$110.61

p75

$447.48

p90

$809.80

p95

$855.03

p99

$893.76

50% of providers bill between $61.96 and $447.48 per claim for this code.

90% bill between $44.60 and $809.80.

Top 1% bill above $893.76.

About This Procedure

HCPCS code 52287 was billed by 28 providers across 2,075 claims, totaling $543K in Medicaid payments from 2018–2024. This code was used for 1,840 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$110.61

Providers Billing

National Spending

$543K

Avg/Median Ratio

2.50×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 52287

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$278K	$480.88	4.3× median	Above 75th
2	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$71K	$867.01	7.8× median	Top 10%
3	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$46K	$177.42	1.6× median	Above Median
4	1790727550	$20K	$827.09	7.5× median	Top 10%
5	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$18K	$649.48	5.9× median	Above 75th
6	1588328918	$13K	$903.16	8.2× median	Top 1%
7	1295921518	$12K	$40.70	0.4× median	Below Median
8	1053373480	$11K	$414.09	3.7× median	Above Median
9	1437184884	$11K	$86.81	0.8× median	Below Median
10	1295738375	$10K	$246.15	2.2× median	Above Median
11	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$10K	$798.28	7.2× median	Above 75th
12	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$9K	$759.38	6.9× median	Above 75th
13	1720016462	$5K	$56.55	0.5× median	Below Median
14	1407801640	$5K	$119.52	1.1× median	Above Median
15	1447460977	$3K	$73.35	0.7× median	Below Median
16	Vanderbilt University Medical Center Nashville, TN · Psychiatric Unit	$3K	$223.20	2.0× median	Above Median
17	1609823004	$3K	$21.21	0.2× median	Below Median
18	1215988530	$2K	$110.61	1.0× median	Above Median
19	1821318353	$2K	$81.27	0.7× median	Below Median
20	1801812078	$2K	$120.43	1.1× median	Above Median

Showing top 20 of 28 providers billing this code

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