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#2713 of 11K

88356

HCPCS Procedure Code

HCPCS code 88356 is the #2,713 most-billed Medicaid procedure code, with $4.0M in payments across 32K claims from 2018–2024. The national median cost per claim is $118.78.

Total Paid

$4.0M

0.00% of all spending

Total Claims

32K

Providers

13

Avg Cost/Claim

$125

National Cost Distribution

How much do providers bill per claim for 88356? Based on 13 providers billing this code nationally.

Median

$118.78

Average

$151.23

Std Dev

$160.12

Max

$650.92

Percentile Distribution (Cost per Claim)

p10
$52.21
p25
$62.20
Median
$118.78
p75
$165.46
p90
$213.73
p95
$394.26
p99
$599.59

50% of providers bill between $62.20 and $165.46 per claim for this code.

90% bill between $52.21 and $213.73.

Top 1% bill above $599.59.

About This Procedure

HCPCS code 88356 was billed by 13 providers across 32K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.78

Providers Billing

13

National Spending

$4.0M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88356

#ProviderTotal Paid
11447244256$1.8M
21861990335$1.1M
31952619983$541K
41184814014$298K
51467433292$67K
61932102027$65K
71053686964$54K
81518473263$35K
91437509858$29K
101164962882$25K
111962463786$10K
121255828174$9K
131801874573$783

Showing top 13 of 13 providers billing this code