52356
HCPCS Procedure Code
HCPCS code 52356 is the #1,938 most-billed Medicaid procedure code, with $11.3M in payments across 9,146 claims from 2018–2024. The national median cost per claim is $1,212.29. Costs vary widely — the 90th percentile is $2,991.25 per claim, 2.5× the median.
Total Paid
$11.3M
0.00% of all spending
Total Claims
9,146
Providers
111
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 52356? Based on 109 providers billing this code nationally.
Median
$1,212.29
Average
$1,449.64
Std Dev
$1,206.06
Max
$6,802.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $302.15 and $2,266.97 per claim for this code.
90% bill between $217.60 and $2,991.25.
Top 1% bill above $5,370.62.
About This Procedure
HCPCS code 52356 was billed by 111 providers across 9,146 claims, totaling $11.3M in Medicaid payments from 2018–2024. This code was used for 8,386 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,212.29
Providers Billing
109
National Spending
$11.3M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 52356
| # | Provider | Total Paid |
|---|---|---|
| 1 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $702K |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $658K |
| 3 | The William W Backus Hospital Norwich, CT · Clinic/Center, Emergency Care | $574K |
| 4 | Saint Mary's Hospital, Inc. Waterbury, CT · General Acute Care Hospital | $548K |
| 5 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $521K |
| 6 | 1295738375 | $498K |
| 7 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $498K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $485K |
| 9 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $454K |
| 10 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $373K |
| 11 | 1295023547 | $349K |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $327K |
| 13 | 1972535052 | $300K |
| 14 | 1427007848 | $282K |
| 15 | 1033135314 | $268K |
| 16 | Summa Health System Akron, OH · General Acute Care Hospital | $242K |
| 17 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $216K |
| 18 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $204K |
| 19 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $202K |
| 20 | 1427027416 | $163K |
Showing top 20 of 111 providers billing this code