55250
HCPCS Procedure Code
HCPCS code 55250 is the #4,547 most-billed Medicaid procedure code, with $522K in payments across 2,705 claims from 2018–2024. The national median cost per claim is $149.35. Costs vary widely — the 90th percentile is $1,159.39 per claim, 7.8× the median.
Total Paid
$522K
0.00% of all spending
Total Claims
2,705
Providers
15
Avg Cost/Claim
$193
National Cost Distribution
How much do providers bill per claim for 55250? Based on 14 providers billing this code nationally.
Median
$149.35
Average
$426.01
Std Dev
$460.86
Max
$1,461.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $148.16 and $613.76 per claim for this code.
90% bill between $144.52 and $1,159.39.
Top 1% bill above $1,447.42.
About This Procedure
HCPCS code 55250 was billed by 15 providers across 2,705 claims, totaling $522K in Medicaid payments from 2018–2024. This code was used for 1,447 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$149.35
Providers Billing
14
National Spending
$522K
Avg/Median Ratio
2.85×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 55250
| # | Provider | Total Paid |
|---|---|---|
| 1 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $132K |
| 2 | 1093969115 | $120K |
| 3 | 1053311860 | $88K |
| 4 | 1497780480 | $56K |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $27K |
| 6 | Akron General Medical Center Akron, OH · General Acute Care Hospital | $20K |
| 7 | 1669561890 | $15K |
| 8 | 1114322518 | $15K |
| 9 | 1679526693 | $11K |
| 10 | 1003885518 | $11K |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $9K |
| 12 | 1750316741 | $7K |
| 13 | 1033135314 | $7K |
| 14 | 1295023547 | $2K |
| 15 | 1730435884 | $0 |
Showing top 15 of 15 providers billing this code