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#4154 of 11K

88188

HCPCS Procedure Code

HCPCS code 88188 is the #4,154 most-billed Medicaid procedure code, with $801K in payments across 20K claims from 2018–2024. The national median cost per claim is $40.12.

Total Paid

$801K

0.00% of all spending

Total Claims

20K

Providers

69

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for 88188? Based on 68 providers billing this code nationally.

Median

$40.12

Average

$42.09

Std Dev

$14.05

Max

$82.91

Percentile Distribution (Cost per Claim)

p10
$27.73
p25
$32.59
Median
$40.12
p75
$51.64
p90
$58.96
p95
$66.19
p99
$76.78

50% of providers bill between $32.59 and $51.64 per claim for this code.

90% bill between $27.73 and $58.96.

Top 1% bill above $76.78.

About This Procedure

HCPCS code 88188 was billed by 69 providers across 20K claims, totaling $801K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.12

Providers Billing

68

National Spending

$801K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88188

#ProviderTotal Paid
1Yale University

New Haven, CT · Internal Medicine

$94K
21508890468$72K
3West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$51K
4Montefiore Medical Center

Bronx, NY · Anesthesiology

$49K
5Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$39K
61285682799$36K
71437292927$36K
81184775132$33K
91316241102$33K
101033193875$32K
11William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$27K
121063464477$25K
13Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$24K
141780800128$24K
151700274727$20K
161477554814$19K
171942374517$16K
181457308637$14K
191164512851$14K
201831208826$12K

Showing top 20 of 69 providers billing this code