#3867 of 11K

88348

HCPCS Procedure Code

HCPCS code 88348 is the #3,867 most-billed Medicaid procedure code, with $1.1M in payments across 16K claims from 2018–2024. The national median cost per claim is $49.85. Costs vary widely — the 90th percentile is $144.99 per claim, 2.9× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

16K

Providers

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for 88348? Based on 49 providers billing this code nationally.

Median

$49.85

Average

$75.17

Std Dev

$86.87

Max

$508.86

Percentile Distribution (Cost per Claim)

p10

$22.02

p25

$31.06

Median

$49.85

p75

$85.38

p90

$144.99

p95

$211.77

p99

$422.67

50% of providers bill between $31.06 and $85.38 per claim for this code.

90% bill between $22.02 and $144.99.

Top 1% bill above $422.67.

About This Procedure

HCPCS code 88348 was billed by 51 providers across 16K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.85

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 88348

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1821156035	$381K	$54.48	1.1× median	Above Median
2	1316984388	$331K	$85.38	1.7× median	Above Median
3	1174503999	$60K	$56.13	1.1× median	Above Median
4	The Toledo Hospital Toledo, OH · Pediatrics	$42K	$99.45	2.0× median	Above 75th
5	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$35K	$329.30	6.6× median	Top 10%
6	1659306504	$26K	$55.00	1.1× median	Above Median
7	Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic	$25K	$508.86	10.2× median	Top 1%
8	1043275787	$17K	$51.55	1.0× median	Above Median
9	1609915784	$17K	$49.85	1.0× median	Above Median
10	Yale University New Haven, CT · Internal Medicine	$12K	$30.36	0.6× median	Below Median
11	Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory	$10K	$223.33	4.5× median	Top 10%
12	Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine	$10K	$165.46	3.3× median	Top 10%
13	1437292927	$9K	$139.88	2.8× median	Above 75th
14	1922051606	$9K	$35.67	0.7× median	Below Median
15	1487600334	$8K	$48.85	1.0× median	Below Median
16	North Shore-lij Medical Pc Great Neck, NY · Urology	$8K	$79.08	1.6× median	Above Median
17	Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery	$7K	$89.97	1.8× median	Above 75th
18	1083662498	$6K	$52.01	1.0× median	Above Median
19	1164512851	$5K	$194.42	3.9× median	Top 10%
20	1033535497	$4K	$31.06	0.6× median	Below Median

Showing top 20 of 51 providers billing this code

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88342$149.0M 88341$68.2M 88356$4.0M 88350$3.0M 88344$3.0M

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