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#3269 of 11K

54304

HCPCS Procedure Code

HCPCS code 54304 is the #3,269 most-billed Medicaid procedure code, with $2.1M in payments across 2,700 claims from 2018–2024. The national median cost per claim is $758.04.

Total Paid

$2.1M

0.00% of all spending

Total Claims

2,700

Providers

19

Avg Cost/Claim

$763

National Cost Distribution

How much do providers bill per claim for 54304? Based on 19 providers billing this code nationally.

Median

$758.04

Average

$802.82

Std Dev

$342.29

Max

$1,742.62

Percentile Distribution (Cost per Claim)

p10
$420.14
p25
$628.17
Median
$758.04
p75
$946.11
p90
$1,138.06
p95
$1,245.17
p99
$1,643.13

50% of providers bill between $628.17 and $946.11 per claim for this code.

90% bill between $420.14 and $1,138.06.

Top 1% bill above $1,643.13.

About This Procedure

HCPCS code 54304 was billed by 19 providers across 2,700 claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 2,464 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$758.04

Providers Billing

19

National Spending

$2.1M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 54304

#ProviderTotal Paid
11134324668$589K
21477951770$283K
31427098169$237K
41730142753$175K
51306215868$175K
61245654342$160K
71861439952$113K
81154612166$78K
9Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$50K
10Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$41K
111831189638$33K
121225034234$25K
131306163431$23K
14Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$17K
151326695255$15K
161881647204$15K
171104816248$13K
181295798346$12K
191598328932$9K

Showing top 19 of 19 providers billing this code

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