88361
HCPCS Procedure Code
HCPCS code 88361 is the #2,651 most-billed Medicaid procedure code, with $4.4M in payments across 47K claims from 2018–2024. The national median cost per claim is $65.22.
Total Paid
$4.4M
0.00% of all spending
Total Claims
47K
Providers
29
Avg Cost/Claim
$92
National Cost Distribution
How much do providers bill per claim for 88361? Based on 29 providers billing this code nationally.
Median
$65.22
Average
$79.06
Std Dev
$54.85
Max
$311.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $47.74 and $93.90 per claim for this code.
90% bill between $37.85 and $120.65.
Top 1% bill above $266.55.
About This Procedure
HCPCS code 88361 was billed by 29 providers across 47K claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$65.22
Providers Billing
29
National Spending
$4.4M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88361
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427273598 | $2.5M |
| 2 | 1447437355 | $794K |
| 3 | 1205834769 | $232K |
| 4 | 1073549663 | $132K |
| 5 | 1316200504 | $109K |
| 6 | 1134119233 | $103K |
| 7 | 1871615708 | $93K |
| 8 | 1942374517 | $74K |
| 9 | 1396408829 | $64K |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $54K |
| 11 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $52K |
| 12 | 1407060411 | $24K |
| 13 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $21K |
| 14 | 1740240753 | $16K |
| 15 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $15K |
| 16 | 1447299797 | $14K |
| 17 | 1912307547 | $13K |
| 18 | 1699115857 | $7K |
| 19 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $3K |
| 20 | 1134188998 | $3K |
Showing top 20 of 29 providers billing this code