#3367 of 11K

88720

HCPCS Procedure Code

HCPCS code 88720 is the #3,367 most-billed Medicaid procedure code, with $1.8M in payments across 402K claims from 2018–2024. The national median cost per claim is $3.88.

Total Paid

$1.8M

0.00% of all spending

Total Claims

402K

Providers

604

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 88720? Based on 508 providers billing this code nationally.

Median

$3.88

Average

$5.76

Std Dev

$13.57

Max

$145.11

Percentile Distribution (Cost per Claim)

p10

$0.27

p25

$1.80

Median

$3.88

p75

$4.86

p90

$6.59

p95

$10.86

p99

$80.02

50% of providers bill between $1.80 and $4.86 per claim for this code.

90% bill between $0.27 and $6.59.

Top 1% bill above $80.02.

About This Procedure

HCPCS code 88720 was billed by 604 providers across 402K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 296K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.88

Providers Billing

508

National Spending

$1.8M

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88720

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Medical University Hospital Authority Charleston, SC · General Acute Care Hospital	$175K	$115.42	29.7× median	Top 1%
2	The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities	$132K	$26.56	6.8× median	Top 10%
3	Spartanburg Medical Center Spartanburg, SC · Ambulance	$79K	$94.07	24.2× median	Top 1%
4	1952320061	$59K	$3.87	1.0× median	Below Median
5	Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital	$55K	$13.33	3.4× median	Top 10%
6	Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical	$55K	$4.88	1.3× median	Above 75th
7	1154461622	$49K	$19.33	5.0× median	Top 10%
8	1205900370	$41K	$4.54	1.2× median	Above Median
9	1922053107	$40K	$56.48	14.6× median	Top 10%
10	Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)	$39K	$4.38	1.1× median	Above Median
11	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$36K	$9.01	2.3× median	Top 10%
12	Bronxcare Health System Bronx, NY · General Acute Care Hospital	$27K	$17.10	4.4× median	Top 10%
13	1780950543	$27K	$4.47	1.2× median	Above Median
14	1598729014	$26K	$4.96	1.3× median	Above 75th
15	1134163942	$24K	$4.71	1.2× median	Above Median
16	1184788291	$23K	$3.74	1.0× median	Below Median
17	1558575746	$23K	$5.14	1.3× median	Above 75th
18	1396792032	$22K	$3.71	1.0× median	Below Median
19	1699704254	$22K	$6.52	1.7× median	Above 75th
20	1003831132	$22K	$52.15	13.4× median	Top 10%

Showing top 20 of 604 providers billing this code

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