#3407 of 11K

72052

HCPCS Procedure Code

HCPCS code 72052 is the #3,407 most-billed Medicaid procedure code, with $1.8M in payments across 52K claims from 2018–2024. The national median cost per claim is $34.04.

Total Paid

$1.8M

0.00% of all spending

Total Claims

52K

Providers

238

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 72052? Based on 234 providers billing this code nationally.

Median

$34.04

Average

$36.39

Std Dev

$26.57

Max

$164.03

Percentile Distribution (Cost per Claim)

p10

$9.06

p25

$15.13

Median

$34.04

p75

$47.20

p90

$66.23

p95

$79.32

p99

$143.09

50% of providers bill between $15.13 and $47.20 per claim for this code.

90% bill between $9.06 and $66.23.

Top 1% bill above $143.09.

About This Procedure

HCPCS code 72052 was billed by 238 providers across 52K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.04

Providers Billing

234

National Spending

$1.8M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72052

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1285630129	$159K	$33.69	1.0× median	Below Median
2	1043293608	$99K	$133.18	3.9× median	Top 10%
3	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$68K	$20.10	0.6× median	Below Median
4	Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital	$67K	$70.90	2.1× median	Top 10%
5	Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital	$67K	$53.46	1.6× median	Above 75th
6	1336209550	$60K	$28.65	0.8× median	Below Median
7	1801957378	$51K	$40.46	1.2× median	Above Median
8	1790297455	$46K	$39.71	1.2× median	Above Median
9	University Hospital Newark, NJ · General Acute Care Hospital	$42K	$72.52	2.1× median	Top 10%
10	1205056371	$34K	$72.79	2.1× median	Top 10%
11	Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital	$33K	$22.56	0.7× median	Below Median
12	Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital	$32K	$54.07	1.6× median	Above 75th
13	The Cooper Health System Camden, NJ · General Acute Care Hospital	$30K	$46.45	1.4× median	Above Median
14	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$29K	$92.59	2.7× median	Top 10%
15	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$29K	$38.64	1.1× median	Above Median
16	1972004489	$27K	$38.11	1.1× median	Above Median
17	1124235007	$25K	$27.58	0.8× median	Below Median
18	1760454334	$24K	$76.43	2.2× median	Top 10%
19	1184606600	$23K	$61.57	1.8× median	Above 75th
20	1679529978	$22K	$9.31	0.3× median	Below Median

Showing top 20 of 238 providers billing this code

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