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#5719 of 11K

75820

HCPCS Procedure Code

HCPCS code 75820 is the #5,719 most-billed Medicaid procedure code, with $149K in payments across 2,574 claims from 2018–2024. The national median cost per claim is $38.06. Costs vary widely — the 90th percentile is $146.06 per claim, 3.8× the median.

Total Paid

$149K

0.00% of all spending

Total Claims

2,574

Providers

17

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 75820? Based on 14 providers billing this code nationally.

Median

$38.06

Average

$64.31

Std Dev

$69.20

Max

$256.79

Percentile Distribution (Cost per Claim)

p10
$17.22
p25
$29.85
Median
$38.06
p75
$67.94
p90
$146.06
p95
$202.89
p99
$246.01

50% of providers bill between $29.85 and $67.94 per claim for this code.

90% bill between $17.22 and $146.06.

Top 1% bill above $246.01.

About This Procedure

HCPCS code 75820 was billed by 17 providers across 2,574 claims, totaling $149K in Medicaid payments from 2018–2024. This code was used for 2,383 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.06

Providers Billing

14

National Spending

$149K

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 75820

#ProviderTotal Paid
11700331196$40K
2Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$40K
31154356087$33K
41578949889$21K
51306876065$7K
61164460077$2K
71205906229$2K
81942251848$1K
91912435173$688
101801869250$625
111982678496$580
121891938122$505
131700154226$461
141710959150$385
151720423478$0
161356630628$0
17Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$0

Showing top 17 of 17 providers billing this code