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#6925 of 11K

78014

HCPCS Procedure Code

HCPCS code 78014 is the #6,925 most-billed Medicaid procedure code, with $36K in payments across 536 claims from 2018–2024. The national median cost per claim is $14.60. Costs vary widely — the 90th percentile is $243.86 per claim, 16.7× the median.

Total Paid

$36K

0.00% of all spending

Total Claims

536

Providers

9

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for 78014? Based on 9 providers billing this code nationally.

Median

$14.60

Average

$99.44

Std Dev

$114.69

Max

$304.61

Percentile Distribution (Cost per Claim)

p10
$9.67
p25
$12.35
Median
$14.60
p75
$181.31
p90
$243.86
p95
$274.24
p99
$298.54

50% of providers bill between $12.35 and $181.31 per claim for this code.

90% bill between $9.67 and $243.86.

Top 1% bill above $298.54.

About This Procedure

HCPCS code 78014 was billed by 9 providers across 536 claims, totaling $36K in Medicaid payments from 2018–2024. This code was used for 509 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.60

Providers Billing

9

National Spending

$36K

Avg/Median Ratio

6.81×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 78014

#ProviderTotal Paid
11720023997$15K
2Saint Mary's Hospital, Inc.

Waterbury, CT · General Acute Care Hospital

$9K
3Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$7K
4Oakwood Healthcare, Inc.

Dearborn, MI · General Acute Care Hospital

$2K
51679529978$2K
61285845982$606
71740283324$423
81376719666$321
91093718496$168

Showing top 9 of 9 providers billing this code

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