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#2004 of 11K

87500

HCPCS Procedure Code

HCPCS code 87500 is the #2,004 most-billed Medicaid procedure code, with $10.3M in payments across 912K claims from 2018–2024. The national median cost per claim is $8.53. Costs vary widely — the 90th percentile is $24.56 per claim, 2.9× the median.

Total Paid

$10.3M

0.00% of all spending

Total Claims

912K

Providers

481

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 87500? Based on 432 providers billing this code nationally.

Median

$8.53

Average

$10.57

Std Dev

$9.66

Max

$72.89

Percentile Distribution (Cost per Claim)

p10
$0.63
p25
$2.36
Median
$8.53
p75
$17.25
p90
$24.56
p95
$28.99
p99
$34.37

50% of providers bill between $2.36 and $17.25 per claim for this code.

90% bill between $0.63 and $24.56.

Top 1% bill above $34.37.

About This Procedure

HCPCS code 87500 was billed by 481 providers across 912K claims, totaling $10.3M in Medicaid payments from 2018–2024. This code was used for 748K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.53

Providers Billing

432

National Spending

$10.3M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87500

#ProviderTotal Paid
1Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$1.2M
21174009245$715K
31649829987$666K
41780059717$541K
51033239413$534K
61407487465$396K
71225316482$350K
81720409154$278K
91396794574$270K
101326484569$252K
11Eurofins Diatherix Laboratories Llc

Huntsville, AL · Clinical Medical Laboratory

$240K
121841798667$200K
131467066860$176K
141043271539$132K
151477173847$125K
161942641774$121K
171699045674$118K
181457977209$111K
191245275106$103K
201053721373$100K

Showing top 20 of 481 providers billing this code