57425
HCPCS Procedure Code
HCPCS code 57425 is the #5,149 most-billed Medicaid procedure code, with $276K in payments across 494 claims from 2018–2024. The national median cost per claim is $349.00. Costs vary widely — the 90th percentile is $1,267.12 per claim, 3.6× the median.
Total Paid
$276K
0.00% of all spending
Total Claims
494
Providers
5
Avg Cost/Claim
$559
National Cost Distribution
How much do providers bill per claim for 57425? Based on 5 providers billing this code nationally.
Median
$349.00
Average
$619.22
Std Dev
$623.78
Max
$1,692.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $229.51 and $628.68 per claim for this code.
90% bill between $209.49 and $1,267.12.
Top 1% bill above $1,650.18.
About This Procedure
HCPCS code 57425 was billed by 5 providers across 494 claims, totaling $276K in Medicaid payments from 2018–2024. This code was used for 261 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$349.00
Providers Billing
5
National Spending
$276K
Avg/Median Ratio
1.77×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 57425
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952326977 | $156K |
| 2 | 1932381530 | $69K |
| 3 | 1124588793 | $40K |
| 4 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $8K |
| 5 | 1003280546 | $4K |
Showing top 5 of 5 providers billing this code