55180
HCPCS Procedure Code
HCPCS code 55180 is the #5,049 most-billed Medicaid procedure code, with $307K in payments across 336 claims from 2018–2024. The national median cost per claim is $252.08. Costs vary widely — the 90th percentile is $2,871.73 per claim, 11.4× the median.
Total Paid
$307K
0.00% of all spending
Total Claims
336
Providers
5
Avg Cost/Claim
$915
National Cost Distribution
How much do providers bill per claim for 55180? Based on 5 providers billing this code nationally.
Median
$252.08
Average
$1,168.77
Std Dev
$1,576.63
Max
$3,809.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $181.65 and $1,465.27 per claim for this code.
90% bill between $153.94 and $2,871.73.
Top 1% bill above $3,715.60.
About This Procedure
HCPCS code 55180 was billed by 5 providers across 336 claims, totaling $307K in Medicaid payments from 2018–2024. This code was used for 292 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$252.08
Providers Billing
5
National Spending
$307K
Avg/Median Ratio
4.64×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 55180
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740233782 | $202K |
| 2 | 1184280695 | $49K |
| 3 | 1609275585 | $47K |
| 4 | 1932543246 | $8K |
| 5 | 1487851275 | $2K |
Showing top 5 of 5 providers billing this code