#2681 of 11K

88237

HCPCS Procedure Code

HCPCS code 88237 is the #2,681 most-billed Medicaid procedure code, with $4.2M in payments across 73K claims from 2018–2024. The national median cost per claim is $54.86.

Total Paid

$4.2M

0.00% of all spending

Total Claims

73K

Providers

103

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 88237? Based on 95 providers billing this code nationally.

Median

$54.86

Average

$66.29

Std Dev

$51.65

Max

$351.61

Percentile Distribution (Cost per Claim)

p10

$14.82

p25

$33.87

Median

$54.86

p75

$84.79

p90

$109.44

p95

$159.86

p99

$230.48

50% of providers bill between $33.87 and $84.79 per claim for this code.

90% bill between $14.82 and $109.44.

Top 1% bill above $230.48.

About This Procedure

HCPCS code 88237 was billed by 103 providers across 73K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 58K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.86

Providers Billing

National Spending

$4.2M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88237

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1447437355	$910K	$63.38	1.2× median	Above Median
2	1740460583	$431K	$82.87	1.5× median	Above Median
3	1871615708	$284K	$43.44	0.8× median	Below Median
4	1699115857	$249K	$48.66	0.9× median	Below Median
5	1073549663	$223K	$42.83	0.8× median	Below Median
6	1306875877	$176K	$83.36	1.5× median	Above Median
7	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$176K	$47.14	0.9× median	Below Median
8	Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory	$146K	$61.27	1.1× median	Above Median
9	Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital	$101K	$105.30	1.9× median	Above 75th
10	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$99K	$71.38	1.3× median	Above Median
11	1164493847	$98K	$40.29	0.7× median	Below Median
12	City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital	$96K	$110.37	2.0× median	Top 10%
13	1679580286	$92K	$57.10	1.0× median	Above Median
14	1124269717	$91K	$145.27	2.6× median	Top 10%
15	1396408829	$89K	$35.44	0.6× median	Below Median
16	Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory	$85K	$107.12	2.0× median	Above 75th
17	1124536107	$78K	$43.82	0.8× median	Below Median
18	Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy	$71K	$82.99	1.5× median	Above Median
19	1467433292	$62K	$49.90	0.9× median	Below Median
20	Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital	$61K	$59.95	1.1× median	Above Median

Showing top 20 of 103 providers billing this code

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