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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $907K |
| 2 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $644K |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $614K |
| 4 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $356K |
| 5 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $335K |
| 6 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $294K |
| 7 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $271K |
| 8 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $267K |
| 9 | 1689744450 | $202K |
| 10 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $175K |
| 11 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $150K |
| 12 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $139K |
| 13 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $124K |
| 14 | 1669657318 | $120K |
| 15 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $113K |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $101K |
| 17 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $99K |
| 18 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $95K |
| 19 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $93K |
| 20 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $88K |
Showing top 20 of 133 providers billing this code