88275
HCPCS Procedure Code
HCPCS code 88275 is the #3,565 most-billed Medicaid procedure code, with $1.5M in payments across 31K claims from 2018–2024. The national median cost per claim is $39.68. Costs vary widely — the 90th percentile is $137.54 per claim, 3.5× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
31K
Providers
60
Avg Cost/Claim
$49
National Cost Distribution
How much do providers bill per claim for 88275? Based on 58 providers billing this code nationally.
Median
$39.68
Average
$65.64
Std Dev
$91.29
Max
$517.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.72 and $58.76 per claim for this code.
90% bill between $12.67 and $137.54.
Top 1% bill above $483.34.
About This Procedure
HCPCS code 88275 was billed by 60 providers across 31K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.68
Providers Billing
58
National Spending
$1.5M
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88275
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1699115857 | $175K |
| 2 | 1871615708 | $164K |
| 3 | 1124269717 | $160K |
| 4 | 1306875877 | $96K |
| 5 | Mount Sinai Hospital New York, NY · Ambulance | $91K |
| 6 | 1124536107 | $83K |
| 7 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $81K |
| 8 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $63K |
| 9 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $50K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $48K |
| 11 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $47K |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $45K |
| 13 | 1164493847 | $44K |
| 14 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $34K |
| 15 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $28K |
| 16 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $23K |
| 17 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $22K |
| 18 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $21K |
| 19 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $20K |
| 20 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $19K |
Showing top 20 of 60 providers billing this code