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#5611 of 11K

90375

HCPCS Procedure Code

HCPCS code 90375 is the #5,611 most-billed Medicaid procedure code, with $168K in payments across 267 claims from 2018–2024. The national median cost per claim is $1,300.51.

Total Paid

$168K

0.00% of all spending

Total Claims

267

Providers

16

Avg Cost/Claim

$628

National Cost Distribution

How much do providers bill per claim for 90375? Based on 10 providers billing this code nationally.

Median

$1,300.51

Average

$1,167.41

Std Dev

$1,021.90

Max

$3,099.94

Percentile Distribution (Cost per Claim)

p10
$151.05
p25
$212.91
Median
$1,300.51
p75
$1,545.76
p90
$2,383.16
p95
$2,741.55
p99
$3,028.27

50% of providers bill between $212.91 and $1,545.76 per claim for this code.

90% bill between $151.05 and $2,383.16.

Top 1% bill above $3,028.27.

About This Procedure

HCPCS code 90375 was billed by 16 providers across 267 claims, totaling $168K in Medicaid payments from 2018–2024. This code was used for 237 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,300.51

Providers Billing

10

National Spending

$168K

Avg/Median Ratio

0.90×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90375

#ProviderTotal Paid
1Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$37K
21558321919$28K
3Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$27K
41104808062$27K
5Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$24K
6Virtua - West Jersey Health System Inc.

Voorhees, NJ · General Acute Care Hospital

$16K
71790789212$4K
8St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$2K
9Atlanticare Regional Medical Center

Pomona, NJ · General Acute Care Hospital

$2K
101265433551$396
111275620585$0
12Lehigh Valley Hospital

Allentown, PA · Psychiatric Unit

$0
13Temple University Hospital Inc

Philadelphia, PA · General Acute Care Hospital

$0
14Reading Hospital

West Reading, PA · Surgery

$0
151437197985$0
161205509510$0

Showing top 16 of 16 providers billing this code