88172
HCPCS Procedure Code
HCPCS code 88172 is the #3,084 most-billed Medicaid procedure code, with $2.5M in payments across 67K claims from 2018–2024. The national median cost per claim is $26.08. Costs vary widely — the 90th percentile is $57.25 per claim, 2.2× the median.
Total Paid
$2.5M
0.00% of all spending
Total Claims
67K
Providers
153
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for 88172? Based on 148 providers billing this code nationally.
Median
$26.08
Average
$30.64
Std Dev
$23.89
Max
$138.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.79 and $40.07 per claim for this code.
90% bill between $6.14 and $57.25.
Top 1% bill above $114.96.
About This Procedure
HCPCS code 88172 was billed by 153 providers across 67K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 59K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.08
Providers Billing
148
National Spending
$2.5M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88172
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740460583 | $476K |
| 2 | 1841496122 | $247K |
| 3 | 1336461128 | $149K |
| 4 | 1396747861 | $113K |
| 5 | 1740246545 | $112K |
| 6 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $111K |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $111K |
| 8 | 1053366054 | $80K |
| 9 | 1114160116 | $74K |
| 10 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $71K |
| 11 | 1275740987 | $70K |
| 12 | 1376544510 | $60K |
| 13 | 1104810308 | $58K |
| 14 | 1306151956 | $54K |
| 15 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $46K |
| 16 | 1831132844 | $41K |
| 17 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $36K |
| 18 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $36K |
| 19 | 1093959355 | $32K |
| 20 | 1144217894 | $29K |
Showing top 20 of 153 providers billing this code