#6343 of 11K

88368

HCPCS Procedure Code

HCPCS code 88368 is the #6,343 most-billed Medicaid procedure code, with $73K in payments across 3,481 claims from 2018–2024. The national median cost per claim is $29.03.

Total Paid

$73K

0.00% of all spending

Total Claims

3,481

Providers

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 88368? Based on 21 providers billing this code nationally.

Median

$29.03

Average

$34.73

Std Dev

$26.64

Max

$105.34

Percentile Distribution (Cost per Claim)

p10

$12.67

p25

$17.73

Median

$29.03

p75

$42.49

p90

$54.19

p95

$102.63

p99

$104.80

50% of providers bill between $17.73 and $42.49 per claim for this code.

90% bill between $12.67 and $54.19.

Top 1% bill above $104.80.

About This Procedure

HCPCS code 88368 was billed by 22 providers across 3,481 claims, totaling $73K in Medicaid payments from 2018–2024. This code was used for 2,883 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.03

Providers Billing

National Spending

$73K

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88368

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1174503999	$20K	$29.55	1.0× median	Above Median
2	1740240753	$10K	$15.45	0.5× median	Below Median
3	1396794574	$6K	$105.34	3.6× median	Top 1%
4	1841375094	$6K	$10.72	0.4× median	Below Median
5	1871101238	$5K	$31.24	1.1× median	Above Median
6	1467433292	$4K	$26.06	0.9× median	Below Median
7	1679580286	$4K	$29.01	1.0× median	Below Median
8	Siparadigm Llc Pine Brook, NJ · Clinical Medical Laboratory	$3K	$12.67	0.4× median	Below Median
9	1801874573	$2K	$18.27	0.6× median	Below Median
10	1477096436	$2K	$27.47	0.9× median	Below Median
11	Yale University New Haven, CT · Internal Medicine	$2K	$29.39	1.0× median	Above Median
12	1336480862	$1K	$17.73	0.6× median	Below Median
13	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$1K	$35.68	1.2× median	Above Median
14	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$1K	$102.63	3.5× median	Top 10%
15	1871723312	$987	$29.03	1.0× median	Above Median
16	Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital	$820	$48.26	1.7× median	Above 75th
17	1497732630	$765	$42.49	1.5× median	Above Median
18	1205063294	$705	$54.19	1.9× median	Top 10%
19	1659322022	$623	$47.88	1.6× median	Above 75th
20	1316984388	$398	$15.93	0.5× median	Below Median

Showing top 20 of 22 providers billing this code

Related Procedures

88360$13.5M 88377$7.2M 88374$7.0M 88365$4.7M 88361$4.4M

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