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#6401 of 11K

52353

HCPCS Procedure Code

HCPCS code 52353 is the #6,401 most-billed Medicaid procedure code, with $68K in payments across 244 claims from 2018–2024. The national median cost per claim is $150.29. Costs vary widely — the 90th percentile is $1,087.84 per claim, 7.2× the median.

Total Paid

$68K

0.00% of all spending

Total Claims

244

Providers

8

Avg Cost/Claim

$280

National Cost Distribution

How much do providers bill per claim for 52353? Based on 7 providers billing this code nationally.

Median

$150.29

Average

$464.71

Std Dev

$817.22

Max

$2,312.71

Percentile Distribution (Cost per Claim)

p10
$99.27
p25
$115.72
Median
$150.29
p75
$234.10
p90
$1,087.84
p95
$1,700.27
p99
$2,190.23

50% of providers bill between $115.72 and $234.10 per claim for this code.

90% bill between $99.27 and $1,087.84.

Top 1% bill above $2,190.23.

About This Procedure

HCPCS code 52353 was billed by 8 providers across 244 claims, totaling $68K in Medicaid payments from 2018–2024. This code was used for 217 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$150.29

Providers Billing

7

National Spending

$68K

Avg/Median Ratio

3.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 52353

#ProviderTotal Paid
11033273594$32K
21063411148$22K
31215259627$7K
41679814628$2K
51437184884$2K
61053300541$2K
71588721500$1K
81568851079$0

Showing top 8 of 8 providers billing this code