88360
HCPCS Procedure Code
HCPCS code 88360 is the #1,811 most-billed Medicaid procedure code, with $13.5M in payments across 253K claims from 2018–2024. The national median cost per claim is $40.50. Costs vary widely — the 90th percentile is $126.63 per claim, 3.1× the median.
Total Paid
$13.5M
0.00% of all spending
Total Claims
253K
Providers
345
Avg Cost/Claim
$53
National Cost Distribution
How much do providers bill per claim for 88360? Based on 329 providers billing this code nationally.
Median
$40.50
Average
$53.87
Std Dev
$50.84
Max
$408.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.82 and $68.81 per claim for this code.
90% bill between $8.34 and $126.63.
Top 1% bill above $216.08.
About This Procedure
HCPCS code 88360 was billed by 345 providers across 253K claims, totaling $13.5M in Medicaid payments from 2018–2024. This code was used for 218K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.50
Providers Billing
329
National Spending
$13.5M
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88360
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $3.3M |
| 2 | 1447244256 | $1.2M |
| 3 | 1447437355 | $710K |
| 4 | 1740733708 | $444K |
| 5 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $416K |
| 6 | 1891873303 | $414K |
| 7 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $265K |
| 8 | 1740460583 | $237K |
| 9 | 1467433292 | $236K |
| 10 | 1720688054 | $175K |
| 11 | 1588949127 | $174K |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $162K |
| 13 | 1699115857 | $161K |
| 14 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $156K |
| 15 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $152K |
| 16 | Health Network Laboratories, Llc Allentown, PA · Clinical Medical Laboratory | $135K |
| 17 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $131K |
| 18 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $120K |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $120K |
| 20 | 1124049671 | $119K |
Showing top 20 of 345 providers billing this code