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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134324668 | $589K |
| 2 | 1477951770 | $283K |
| 3 | 1427098169 | $237K |
| 4 | 1730142753 | $175K |
| 5 | 1306215868 | $175K |
| 6 | 1245654342 | $160K |
| 7 | 1861439952 | $113K |
| 8 | 1154612166 | $78K |
| 9 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $50K |
| 10 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $41K |
| 11 | 1831189638 | $33K |
| 12 | 1225034234 | $25K |
| 13 | 1306163431 | $23K |
| 14 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $17K |
| 15 | 1326695255 | $15K |
| 16 | 1881647204 | $15K |
| 17 | 1104816248 | $13K |
| 18 | 1295798346 | $12K |
| 19 | 1598328932 | $9K |
Showing top 19 of 19 providers billing this code