88311
HCPCS Procedure Code
HCPCS code 88311 is the #3,107 most-billed Medicaid procedure code, with $2.5M in payments across 407K claims from 2018–2024. The national median cost per claim is $5.68. Costs vary widely — the 90th percentile is $13.01 per claim, 2.3× the median.
Total Paid
$2.5M
0.00% of all spending
Total Claims
407K
Providers
819
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 88311? Based on 744 providers billing this code nationally.
Median
$5.68
Average
$7.41
Std Dev
$14.76
Max
$339.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.58 and $8.35 per claim for this code.
90% bill between $1.41 and $13.01.
Top 1% bill above $26.59.
About This Procedure
HCPCS code 88311 was billed by 819 providers across 407K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 355K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.68
Providers Billing
744
National Spending
$2.5M
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88311
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053686964 | $100K |
| 2 | 1740460583 | $90K |
| 3 | 1134119233 | $65K |
| 4 | 1548549066 | $55K |
| 5 | 1780830737 | $55K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $48K |
| 7 | 1144283912 | $47K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $45K |
| 9 | 1770925109 | $44K |
| 10 | Yale University New Haven, CT · Internal Medicine | $35K |
| 11 | 1154302552 | $33K |
| 12 | 1508890468 | $32K |
| 13 | 1598760985 | $31K |
| 14 | Health Network Laboratories, Llc Allentown, PA · Clinical Medical Laboratory | $31K |
| 15 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $29K |
| 16 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $28K |
| 17 | 1447299797 | $27K |
| 18 | 1831132844 | $26K |
| 19 | 1174503999 | $24K |
| 20 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $23K |
Showing top 20 of 819 providers billing this code