#2479 of 11K

88108

HCPCS Procedure Code

HCPCS code 88108 is the #2,479 most-billed Medicaid procedure code, with $5.5M in payments across 330K claims from 2018–2024. The national median cost per claim is $13.54. Costs vary widely — the 90th percentile is $28.97 per claim, 2.1× the median.

Total Paid

$5.5M

0.00% of all spending

Total Claims

330K

Providers

505

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 88108? Based on 487 providers billing this code nationally.

Median

$13.54

Average

$16.65

Std Dev

$15.10

Max

$117.43

Percentile Distribution (Cost per Claim)

p10

$3.41

p25

$8.56

Median

$13.54

p75

$20.36

p90

$28.97

p95

$43.93

p99

$83.14

50% of providers bill between $8.56 and $20.36 per claim for this code.

90% bill between $3.41 and $28.97.

Top 1% bill above $83.14.

About This Procedure

HCPCS code 88108 was billed by 505 providers across 330K claims, totaling $5.5M in Medicaid payments from 2018–2024. This code was used for 281K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.54

Providers Billing

487

National Spending

$5.5M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88108

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1598758666	$221K	$24.06	1.8× median	Above 75th
2	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$199K	$14.20	1.0× median	Above Median
3	1083713820	$188K	$12.29	0.9× median	Below Median
4	1780830737	$167K	$40.94	3.0× median	Top 10%
5	Phoenix Children's Hospital Phoenix, AZ · Pediatrics	$151K	$22.27	1.6× median	Above 75th
6	1376852061	$142K	$19.34	1.4× median	Above Median
7	1083662498	$134K	$22.47	1.7× median	Above 75th
8	1871886366	$134K	$17.01	1.3× median	Above Median
9	1962480608	$125K	$20.53	1.5× median	Above 75th
10	1437292927	$96K	$24.93	1.8× median	Above 75th
11	1043275787	$82K	$16.24	1.2× median	Above Median
12	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$80K	$38.35	2.8× median	Top 10%
13	City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital	$72K	$63.00	4.7× median	Top 10%
14	1487600334	$68K	$14.25	1.1× median	Above Median
15	1740460583	$64K	$41.78	3.1× median	Top 10%
16	1831218627	$63K	$18.20	1.3× median	Above Median
17	1790711927	$63K	$22.56	1.7× median	Above 75th
18	1104891050	$61K	$16.33	1.2× median	Above Median
19	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$60K	$13.30	1.0× median	Below Median
20	Montefiore Medical Center Bronx, NY · Anesthesiology	$58K	$21.92	1.6× median	Above 75th

Showing top 20 of 505 providers billing this code

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