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#2304 of 11K

75561

HCPCS Procedure Code

HCPCS code 75561 is the #2,304 most-billed Medicaid procedure code, with $6.9M in payments across 23K claims from 2018–2024. The national median cost per claim is $186.62. Costs vary widely — the 90th percentile is $557.79 per claim, 3.0× the median.

Total Paid

$6.9M

0.00% of all spending

Total Claims

23K

Providers

133

Avg Cost/Claim

$303

National Cost Distribution

How much do providers bill per claim for 75561? Based on 133 providers billing this code nationally.

Median

$186.62

Average

$273.02

Std Dev

$297.30

Max

$2,492.78

Percentile Distribution (Cost per Claim)

p10
$68.88
p25
$93.26
Median
$186.62
p75
$339.05
p90
$557.79
p95
$763.21
p99
$1,224.59

50% of providers bill between $93.26 and $339.05 per claim for this code.

90% bill between $68.88 and $557.79.

Top 1% bill above $1,224.59.

About This Procedure

HCPCS code 75561 was billed by 133 providers across 23K claims, totaling $6.9M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$186.62

Providers Billing

133

National Spending

$6.9M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 75561

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$907K
2Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$644K
3Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$614K
4Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$356K
5Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$335K
6Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$294K
7Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$271K
8Regents Of The University Of Michigan

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

$267K
91689744450$202K
10The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$175K
11Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$150K
12Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$139K
13St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$124K
141669657318$120K
15Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$113K
16Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$101K
17Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$99K
18Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$95K
19Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$93K
20Stanford Health Care

Stanford, CA · General Acute Care Hospital

$88K

Showing top 20 of 133 providers billing this code