#4680 of 11K

76380

HCPCS Procedure Code

HCPCS code 76380 is the #4,680 most-billed Medicaid procedure code, with $456K in payments across 7,353 claims from 2018–2024. The national median cost per claim is $66.95.

Total Paid

$456K

0.00% of all spending

Total Claims

7,353

Providers

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for 76380? Based on 30 providers billing this code nationally.

Median

$66.95

Average

$64.52

Std Dev

$48.87

Max

$254.34

Percentile Distribution (Cost per Claim)

p10

$5.26

p25

$38.70

Median

$66.95

p75

$81.33

p90

$105.63

p95

$117.49

p99

$216.32

50% of providers bill between $38.70 and $81.33 per claim for this code.

90% bill between $5.26 and $105.63.

Top 1% bill above $216.32.

About This Procedure

HCPCS code 76380 was billed by 30 providers across 7,353 claims, totaling $456K in Medicaid payments from 2018–2024. This code was used for 7,026 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$66.95

Providers Billing

National Spending

$456K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76380

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization	$113K	$123.22	1.8× median	Top 10%
2	1376698043	$61K	$72.27	1.1× median	Above Median
3	Kaiser Foundation Hospitals Downey, CA · General Acute Care Hospital	$52K	$67.65	1.0× median	Above Median
4	1336294040	$39K	$71.52	1.1× median	Above Median
5	1740283324	$37K	$24.66	0.4× median	Below Median
6	1356496772	$33K	$37.84	0.6× median	Below Median
7	1356307581	$21K	$93.56	1.4× median	Above 75th
8	1134274897	$17K	$76.35	1.1× median	Above Median
9	1013062769	$17K	$67.66	1.0× median	Above Median
10	Kaiser Foundation Hospitals Baldwin Park, CA · General Acute Care Hospital	$12K	$41.28	0.6× median	Below Median
11	Kaiser Foundation Hospitals Anaheim, CA · General Acute Care Hospital	$12K	$73.81	1.1× median	Above Median
12	1922033547	$10K	$110.48	1.7× median	Top 10%
13	University Of California Irvine Orange, CA · General Acute Care Hospital	$6K	$84.52	1.3× median	Above 75th
14	1295880912	$5K	$82.99	1.2× median	Above 75th
15	Stanford Health Care Stanford, CA · General Acute Care Hospital	$4K	$102.22	1.5× median	Above 75th
16	Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine	$4K	$49.78	0.7× median	Below Median
17	1306991211	$3K	$47.77	0.7× median	Below Median
18	Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization	$3K	$254.34	3.8× median	Top 1%
19	1174793459	$2K	$70.00	1.0× median	Above Median
20	1962987677	$1K	$105.09	1.6× median	Above 75th

Showing top 20 of 30 providers billing this code

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