#4109 of 11K

75635

HCPCS Procedure Code

HCPCS code 75635 is the #4,109 most-billed Medicaid procedure code, with $838K in payments across 9,259 claims from 2018–2024. The national median cost per claim is $62.91. Costs vary widely — the 90th percentile is $184.55 per claim, 2.9× the median.

Total Paid

$838K

0.00% of all spending

Total Claims

9,259

Providers

Avg Cost/Claim

$91

National Cost Distribution

How much do providers bill per claim for 75635? Based on 85 providers billing this code nationally.

Median

$62.91

Average

$92.08

Std Dev

$83.26

Max

$468.56

Percentile Distribution (Cost per Claim)

p10

$27.48

p25

$43.00

Median

$62.91

p75

$105.08

p90

$184.55

p95

$263.48

p99

$361.85

50% of providers bill between $43.00 and $105.08 per claim for this code.

90% bill between $27.48 and $184.55.

Top 1% bill above $361.85.

About This Procedure

HCPCS code 75635 was billed by 86 providers across 9,259 claims, totaling $838K in Medicaid payments from 2018–2024. This code was used for 8,632 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.91

Providers Billing

National Spending

$838K

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 75635

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	University Of Kentucky Lexington, KY · General Acute Care Hospital	$212K	$468.56	7.4× median	Top 1%
2	1740283324	$158K	$61.02	1.0× median	Below Median
3	Miami Valley Hospital Dayton, OH · General Acute Care Hospital	$51K	$184.55	2.9× median	Above 75th
4	1679529978	$36K	$63.85	1.0× median	Above Median
5	1487608931	$35K	$57.43	0.9× median	Below Median
6	1033215710	$33K	$58.01	0.9× median	Below Median
7	Dayton Osteopathic Hospital Dayton, OH · General Acute Care Hospital	$32K	$240.28	3.8× median	Top 10%
8	1871528026	$32K	$59.56	0.9× median	Below Median
9	1508942681	$20K	$64.34	1.0× median	Above Median
10	1376719666	$18K	$54.03	0.9× median	Below Median
11	1073827101	$16K	$67.34	1.1× median	Above Median
12	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$14K	$234.22	3.7× median	Top 10%
13	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$12K	$278.18	4.4× median	Top 10%
14	1245299494	$11K	$53.19	0.8× median	Below Median
15	Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital	$8K	$163.41	2.6× median	Above 75th
16	1922043686	$8K	$94.51	1.5× median	Above Median
17	1457339277	$7K	$75.08	1.2× median	Above Median
18	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$6K	$95.60	1.5× median	Above Median
19	1669425658	$6K	$58.47	0.9× median	Below Median
20	1558759571	$6K	$104.38	1.7× median	Above Median

Showing top 20 of 86 providers billing this code

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