Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7789 of 11K

88363

HCPCS Procedure Code

HCPCS code 88363 is the #7,789 most-billed Medicaid procedure code, with $10K in payments across 1,717 claims from 2018–2024. The national median cost per claim is $7.39.

Total Paid

$10K

0.00% of all spending

Total Claims

1,717

Providers

21

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 88363? Based on 18 providers billing this code nationally.

Median

$7.39

Average

$7.61

Std Dev

$3.77

Max

$15.94

Percentile Distribution (Cost per Claim)

p10
$3.46
p25
$4.68
Median
$7.39
p75
$9.50
p90
$12.59
p95
$14.84
p99
$15.72

50% of providers bill between $4.68 and $9.50 per claim for this code.

90% bill between $3.46 and $12.59.

Top 1% bill above $15.72.

About This Procedure

HCPCS code 88363 was billed by 21 providers across 1,717 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 1,566 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.39

Providers Billing

18

National Spending

$10K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88363

#ProviderTotal Paid
11972504447$2K
21174517270$2K
31962463786$1K
41659439834$1K
51144277633$1K
61033193875$813
7Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$358
81336223635$316
91407950082$272
101982606380$241
111689635773$229
121740348929$205
13Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$142
141942374517$81
151457308637$72
161770587511$68
17West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$47
181942257191$36
191770131831$0
201720546468$0

Showing top 20 of 21 providers billing this code