#3651 of 11K

73523

HCPCS Procedure Code

HCPCS code 73523 is the #3,651 most-billed Medicaid procedure code, with $1.4M in payments across 58K claims from 2018–2024. The national median cost per claim is $21.18. Costs vary widely — the 90th percentile is $59.53 per claim, 2.8× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

58K

Providers

177

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 73523? Based on 176 providers billing this code nationally.

Median

$21.18

Average

$31.07

Std Dev

$31.11

Max

$198.23

Percentile Distribution (Cost per Claim)

p10

$6.69

p25

$9.26

Median

$21.18

p75

$41.25

p90

$59.53

p95

$97.05

p99

$145.05

50% of providers bill between $9.26 and $41.25 per claim for this code.

90% bill between $6.69 and $59.53.

Top 1% bill above $145.05.

About This Procedure

HCPCS code 73523 was billed by 177 providers across 58K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.18

Providers Billing

176

National Spending

$1.4M

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 73523

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1972004489	$133K	$36.40	1.7× median	Above Median
2	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$76K	$128.53	6.1× median	Top 10%
3	1356399539	$69K	$135.88	6.4× median	Top 10%
4	1679779649	$60K	$51.67	2.4× median	Above 75th
5	1568403111	$56K	$172.55	8.1× median	Top 1%
6	1598717480	$49K	$37.80	1.8× median	Above Median
7	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$46K	$52.56	2.5× median	Above 75th
8	The Cooper Health System Camden, NJ · General Acute Care Hospital	$41K	$47.52	2.2× median	Above 75th
9	1427057967	$38K	$30.33	1.4× median	Above Median
10	William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital	$36K	$52.04	2.5× median	Above 75th
11	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$35K	$43.09	2.0× median	Above 75th
12	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$34K	$24.31	1.1× median	Above Median
13	1316463227	$29K	$16.22	0.8× median	Below Median
14	Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital	$28K	$127.54	6.0× median	Top 10%
15	1003985755	$28K	$37.84	1.8× median	Above Median
16	Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital	$28K	$59.57	2.8× median	Top 10%
17	1740283324	$24K	$8.52	0.4× median	Below Median
18	Southern California Permanente Medical Group Fontana, CA · Health Maintenance Organization	$22K	$46.00	2.2× median	Above 75th
19	Albert Einstein Medical Center Phila, PA · General Acute Care Hospital	$22K	$42.38	2.0× median	Above 75th
20	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$21K	$17.27	0.8× median	Below Median

Showing top 20 of 177 providers billing this code

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