#3634 of 11K

58340

HCPCS Procedure Code

HCPCS code 58340 is the #3,634 most-billed Medicaid procedure code, with $1.4M in payments across 8,541 claims from 2018–2024. The national median cost per claim is $144.04. Costs vary widely — the 90th percentile is $320.75 per claim, 2.2× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

8,541

Providers

Avg Cost/Claim

$164

National Cost Distribution

How much do providers bill per claim for 58340? Based on 46 providers billing this code nationally.

Median

$144.04

Average

$174.93

Std Dev

$137.98

Max

$677.41

Percentile Distribution (Cost per Claim)

p10

$29.62

p25

$85.99

Median

$144.04

p75

$223.01

p90

$320.75

p95

$395.84

p99

$640.81

50% of providers bill between $85.99 and $223.01 per claim for this code.

90% bill between $29.62 and $320.75.

Top 1% bill above $640.81.

About This Procedure

HCPCS code 58340 was billed by 54 providers across 8,541 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 8,013 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$144.04

Providers Billing

National Spending

$1.4M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 58340

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging	$199K	$160.39	1.1× median	Above Median
2	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$191K	$237.60	1.6× median	Above 75th
3	Montefiore Medical Center Bronx, NY · Anesthesiology	$185K	$300.82	2.1× median	Above 75th
4	1699216069	$159K	$146.82	1.0× median	Above Median
5	1760421713	$103K	$340.68	2.4× median	Top 10%
6	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$82K	$596.08	4.1× median	Top 10%
7	1790736551	$64K	$259.19	1.8× median	Above 75th
8	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$62K	$60.91	0.4× median	Below Median
9	1275596280	$55K	$235.78	1.6× median	Above 75th
10	1356862221	$50K	$212.61	1.5× median	Above Median
11	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$34K	$111.54	0.8× median	Below Median
12	1346697331	$31K	$158.23	1.1× median	Above Median
13	Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital	$25K	$677.41	4.7× median	Top 1%
14	1205874930	$18K	$278.93	1.9× median	Above 75th
15	1922037910	$15K	$73.23	0.5× median	Below Median
16	1952574535	$15K	$214.98	1.5× median	Above Median
17	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$14K	$375.37	2.6× median	Top 10%
18	1477523413	$14K	$139.96	1.0× median	Below Median
19	1487914347	$9K	$104.20	0.7× median	Below Median
20	1639791155	$7K	$248.48	1.7× median	Above 75th

Showing top 20 of 54 providers billing this code

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