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#6507 of 11K

75580

HCPCS Procedure Code

HCPCS code 75580 is the #6,507 most-billed Medicaid procedure code, with $60K in payments across 329 claims from 2018–2024. The national median cost per claim is $208.42. Costs vary widely — the 90th percentile is $430.03 per claim, 2.1× the median.

Total Paid

$60K

0.00% of all spending

Total Claims

329

Providers

8

Avg Cost/Claim

$182

National Cost Distribution

How much do providers bill per claim for 75580? Based on 7 providers billing this code nationally.

Median

$208.42

Average

$252.55

Std Dev

$165.50

Max

$448.15

Percentile Distribution (Cost per Claim)

p10
$76.16
p25
$112.24
Median
$208.42
p75
$408.94
p90
$430.03
p95
$439.09
p99
$446.33

50% of providers bill between $112.24 and $408.94 per claim for this code.

90% bill between $76.16 and $430.03.

Top 1% bill above $446.33.

About This Procedure

HCPCS code 75580 was billed by 8 providers across 329 claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 320 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$208.42

Providers Billing

7

National Spending

$60K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 75580

#ProviderTotal Paid
11942543053$23K
21902511157$12K
31275675027$7K
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$7K
5St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$6K
61922032564$4K
7Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$1K
8New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$0

Showing top 8 of 8 providers billing this code