88367
HCPCS Procedure Code
HCPCS code 88367 is the #5,055 most-billed Medicaid procedure code, with $306K in payments across 8K claims from 2018–2024. The national median cost per claim is $32.49. Costs vary widely — the 90th percentile is $102.07 per claim, 3.1× the median.
Total Paid
$306K
0.00% of all spending
Total Claims
8K
Providers
12
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 88367? Based on 10 providers billing this code nationally.
Median
$32.49
Average
$62.08
Std Dev
$76.41
Max
$271.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.88 and $59.87 per claim for this code.
90% bill between $18.94 and $102.07.
Top 1% bill above $254.11.
About This Procedure
HCPCS code 88367 was billed by 12 providers across 8K claims, totaling $306K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.49
Providers Billing
10
National Spending
$306K
Avg/Median Ratio
1.91×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88367
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649225632 | $127K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $100K |
| 3 | 1811298953 | $68K |
| 4 | 1043215320 | $6K |
| 5 | 1174503999 | $807 |
| 6 | 1982891941 | $799 |
| 7 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $758 |
| 8 | 1649375189 | $599 |
| 9 | 1447437355 | $460 |
| 10 | 1922079706 | $417 |
| 11 | 1699884858 | $0 |
| 12 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $0 |
Showing top 12 of 12 providers billing this code