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#3978 of 11K

75625

HCPCS Procedure Code

HCPCS code 75625 is the #3,978 most-billed Medicaid procedure code, with $963K in payments across 14K claims from 2018–2024. The national median cost per claim is $33.41. Costs vary widely — the 90th percentile is $242.95 per claim, 7.3× the median.

Total Paid

$963K

0.00% of all spending

Total Claims

14K

Providers

69

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 75625? Based on 66 providers billing this code nationally.

Median

$33.41

Average

$111.21

Std Dev

$241.75

Max

$1,226.92

Percentile Distribution (Cost per Claim)

p10
$12.03
p25
$17.68
Median
$33.41
p75
$60.71
p90
$242.95
p95
$580.79
p99
$1,211.27

50% of providers bill between $17.68 and $60.71 per claim for this code.

90% bill between $12.03 and $242.95.

Top 1% bill above $1,211.27.

About This Procedure

HCPCS code 75625 was billed by 69 providers across 14K claims, totaling $963K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.41

Providers Billing

66

National Spending

$963K

Avg/Median Ratio

3.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 75625

#ProviderTotal Paid
11033163092$261K
21205835485$157K
31598875460$114K
41578949889$113K
5State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$96K
61255899704$49K
71497224174$21K
81427055821$18K
91306914213$16K
101194020610$14K
111003298340$14K
121386754273$11K
13Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$7K
141235645607$6K
151326487513$6K
161598792632$6K
171245356369$5K
181922070457$3K
19Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$3K
201316923915$3K

Showing top 20 of 69 providers billing this code

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