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#1563 of 11K

72156

HCPCS Procedure Code

HCPCS code 72156 is the #1,563 most-billed Medicaid procedure code, with $19.1M in payments across 95K claims from 2018–2024. The national median cost per claim is $117.57. Costs vary widely — the 90th percentile is $383.88 per claim, 3.3× the median.

Total Paid

$19.1M

0.00% of all spending

Total Claims

95K

Providers

310

Avg Cost/Claim

$202

National Cost Distribution

How much do providers bill per claim for 72156? Based on 308 providers billing this code nationally.

Median

$117.57

Average

$189.94

Std Dev

$222.95

Max

$1,933.84

Percentile Distribution (Cost per Claim)

p10
$58.17
p25
$73.68
Median
$117.57
p75
$215.01
p90
$383.88
p95
$540.23
p99
$1,073.78

50% of providers bill between $73.68 and $215.01 per claim for this code.

90% bill between $58.17 and $383.88.

Top 1% bill above $1,073.78.

About This Procedure

HCPCS code 72156 was billed by 310 providers across 95K claims, totaling $19.1M in Medicaid payments from 2018–2024. This code was used for 89K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$117.57

Providers Billing

308

National Spending

$19.1M

Avg/Median Ratio

1.62×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72156

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.6M
2Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$1.6M
3Stanford Health Care

Stanford, CA · General Acute Care Hospital

$1.2M
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$940K
5Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$634K
6Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$571K
7State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$568K
8Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$543K
9Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$479K
10Dignity Health

Phoenix, AZ · Rehabilitation Unit

$410K
111740283324$405K
121477549756$361K
13Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$354K
14Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$343K
15Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$341K
161871528026$277K
171427360700$245K
18Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$230K
19Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$225K
20Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$221K

Showing top 20 of 310 providers billing this code