75573
HCPCS Procedure Code
HCPCS code 75573 is the #4,371 most-billed Medicaid procedure code, with $631K in payments across 1,336 claims from 2018–2024. The national median cost per claim is $100.84. Costs vary widely — the 90th percentile is $1,168.36 per claim, 11.6× the median.
Total Paid
$631K
0.00% of all spending
Total Claims
1,336
Providers
17
Avg Cost/Claim
$472
National Cost Distribution
How much do providers bill per claim for 75573? Based on 17 providers billing this code nationally.
Median
$100.84
Average
$468.74
Std Dev
$858.73
Max
$3,196.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $85.72 and $505.89 per claim for this code.
90% bill between $69.92 and $1,168.36.
Top 1% bill above $3,018.59.
About This Procedure
HCPCS code 75573 was billed by 17 providers across 1,336 claims, totaling $631K in Medicaid payments from 2018–2024. This code was used for 1,281 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$100.84
Providers Billing
17
National Spending
$631K
Avg/Median Ratio
4.65×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 75573
| # | Provider | Total Paid |
|---|---|---|
| 1 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $442K |
| 2 | Texas Children's Physician Group Houston, TX · Pediatrics | $70K |
| 3 | 1689744450 | $38K |
| 4 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $24K |
| 5 | Children's Hospital Corporation Boston, MA · Clinic/Center | $15K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $8K |
| 7 | 1942227558 | $7K |
| 8 | University Physicians Incorporated Aurora, CO · Anesthesiology | $6K |
| 9 | 1972579365 | $6K |
| 10 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $4K |
| 11 | 1851368039 | $3K |
| 12 | 1750351375 | $2K |
| 13 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $2K |
| 14 | 1326695255 | $2K |
| 15 | 1649220443 | $919 |
| 16 | 1942664412 | $908 |
| 17 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $144 |
Showing top 17 of 17 providers billing this code