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#2408 of 11K

73521

HCPCS Procedure Code

HCPCS code 73521 is the #2,408 most-billed Medicaid procedure code, with $6.0M in payments across 212K claims from 2018–2024. The national median cost per claim is $16.56. Costs vary widely — the 90th percentile is $47.29 per claim, 2.9× the median.

Total Paid

$6.0M

0.00% of all spending

Total Claims

212K

Providers

491

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 73521? Based on 483 providers billing this code nationally.

Median

$16.56

Average

$24.72

Std Dev

$30.36

Max

$296.49

Percentile Distribution (Cost per Claim)

p10
$5.53
p25
$8.30
Median
$16.56
p75
$30.05
p90
$47.29
p95
$71.00
p99
$150.43

50% of providers bill between $8.30 and $30.05 per claim for this code.

90% bill between $5.53 and $47.29.

Top 1% bill above $150.43.

About This Procedure

HCPCS code 73521 was billed by 491 providers across 212K claims, totaling $6.0M in Medicaid payments from 2018–2024. This code was used for 189K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.56

Providers Billing

483

National Spending

$6.0M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 73521

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.1M
2Children's Hospital Corporation

Boston, MA · Clinic/Center

$361K
3Driscoll Childrens Hospital

Corpus Christi, TX · Speech-Language Pathologist,

$233K
4Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$221K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$216K
6Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$197K
7Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$171K
81346297843$140K
9Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$132K
10Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$128K
11Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$94K
12University Hospital

Newark, NJ · General Acute Care Hospital

$94K
13Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$86K
141700865094$84K
15Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$75K
16Saint Peter's University Hospital

New Brunswick, NJ · General Acute Care Hospital

$61K
17Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$56K
18Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$56K
191811080526$54K
20Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$51K

Showing top 20 of 491 providers billing this code