88307
Surgical pathology, gross and microscopic, complex
Surgical pathology, gross and microscopic, complex is the #441 most-billed Medicaid procedure code, with $225.8M in payments across 3.5M claims from 2018–2024. The national median cost per claim is $59.38.
Total Paid
$225.8M
0.02% of all spending
Total Claims
3.5M
Providers
3K
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 88307? Based on 3K providers billing this code nationally.
Median
$59.38
Average
$64.10
Std Dev
$47.72
Max
$1,102.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $40.92 and $77.34 per claim for this code.
90% bill between $18.22 and $104.43.
Top 1% bill above $225.81.
About This Procedure
HCPCS code 88307 (Surgical pathology, gross and microscopic, complex) was billed by 3K providers across 3.5M claims, totaling $225.8M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.38
Providers Billing
3K
National Spending
$225.8M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88307
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1174503999 | $3.5M |
| 2 | 1598760985 | $3.3M |
| 3 | 1134119233 | $2.6M |
| 4 | 1740460583 | $2.3M |
| 5 | 1871627067 | $2.1M |
| 6 | Associated Pathologists, Llc Nashville, TN · Medical Genetics, Clinical Genetics (M.D.) | $1.9M |
| 7 | 1447299797 | $1.7M |
| 8 | 1659306504 | $1.7M |
| 9 | 1922079706 | $1.6M |
| 10 | 1942374517 | $1.5M |
| 11 | 1043275787 | $1.4M |
| 12 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.3M |
| 13 | 1033173182 | $1.3M |
| 14 | 1093843450 | $1.3M |
| 15 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $1.2M |
| 16 | 1871503474 | $1.2M |
| 17 | 1326086745 | $1.2M |
| 18 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $1.2M |
| 19 | 1093768723 | $1.1M |
| 20 | 1831132844 | $1.1M |
Showing top 20 of 3K providers billing this code