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#1605 of 11K

75574

HCPCS Procedure Code

HCPCS code 75574 is the #1,605 most-billed Medicaid procedure code, with $17.9M in payments across 116K claims from 2018–2024. The national median cost per claim is $102.06. Costs vary widely — the 90th percentile is $292.05 per claim, 2.9× the median.

Total Paid

$17.9M

0.00% of all spending

Total Claims

116K

Providers

370

Avg Cost/Claim

$155

National Cost Distribution

How much do providers bill per claim for 75574? Based on 367 providers billing this code nationally.

Median

$102.06

Average

$142.89

Std Dev

$104.63

Max

$508.97

Percentile Distribution (Cost per Claim)

p10
$42.33
p25
$66.61
Median
$102.06
p75
$201.69
p90
$292.05
p95
$338.80
p99
$457.42

50% of providers bill between $66.61 and $201.69 per claim for this code.

90% bill between $42.33 and $292.05.

Top 1% bill above $457.42.

About This Procedure

HCPCS code 75574 was billed by 370 providers across 116K claims, totaling $17.9M in Medicaid payments from 2018–2024. This code was used for 109K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$102.06

Providers Billing

367

National Spending

$17.9M

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 75574

#ProviderTotal Paid
1Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$723K
2Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$588K
3Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$534K
4The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$489K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$416K
6Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$392K
71689009854$380K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$365K
9St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$365K
101568462034$362K
111366459570$360K
121851893317$345K
131487608931$341K
14Banner Thunderbird Medical Center

Glendale, AZ · Community/Behavioral Health

$340K
151477523413$297K
161407877137$291K
171477616571$276K
18Stanford Health Care

Stanford, CA · General Acute Care Hospital

$265K
19Chinatown True Care Medical Pllc

New York, NY · Family Medicine

$260K
20Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$250K

Showing top 20 of 370 providers billing this code