#664 of 11K

90378

HCPCS Procedure Code

HCPCS code 90378 is the #664 most-billed Medicaid procedure code, with $112.1M in payments across 62K claims from 2018–2024. The national median cost per claim is $1,627.19. Costs vary widely — the 90th percentile is $3,322.09 per claim, 2.0× the median.

Total Paid

$112.1M

0.01% of all spending

Total Claims

62K

Providers

131

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 90378? Based on 99 providers billing this code nationally.

Median

$1,627.19

Average

$1,626.69

Std Dev

$1,212.64

Max

$4,195.19

Percentile Distribution (Cost per Claim)

p10

$108.33

p25

$389.19

Median

$1,627.19

p75

$2,496.82

p90

$3,322.09

p95

$3,650.42

p99

$3,916.44

50% of providers bill between $389.19 and $2,496.82 per claim for this code.

90% bill between $108.33 and $3,322.09.

Top 1% bill above $3,916.44.

About This Procedure

HCPCS code 90378 was billed by 131 providers across 62K claims, totaling $112.1M in Medicaid payments from 2018–2024. This code was used for 46K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,627.19

Providers Billing

National Spending

$112.1M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90378

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1811080526	$11.7M	$2,988.68	1.8× median	Above 75th
2	1073947636	$9.4M	$3,893.53	2.4× median	Top 10%
3	1134100134	$8.4M	$2,745.16	1.7× median	Above 75th
4	Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine	$7.0M	$3,311.19	2.0× median	Above 75th
5	1275988321	$6.7M	$2,965.74	1.8× median	Above 75th
6	1164492906	$6.2M	$2,062.52	1.3× median	Above Median
7	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$4.4M	$3,180.48	2.0× median	Above 75th
8	1467488148	$4.0M	$3,764.74	2.3× median	Top 10%
9	1164699856	$3.6M	$3,375.33	2.1× median	Top 10%
10	Accredo Health Group Inc Memphis, TN · Pharmacy	$3.2M	$2,115.90	1.3× median	Above Median
11	1417955170	$3.2M	$2,427.04	1.5× median	Above Median
12	1457381782	$2.6M	$1,919.72	1.2× median	Above Median
13	1366435976	$2.5M	$2,064.10	1.3× median	Above Median
14	1629116645	$2.4M	$4,195.19	2.6× median	Top 1%
15	1417938820	$2.4M	$2,631.21	1.6× median	Above 75th
16	1740217678	$2.1M	$2,404.18	1.5× median	Above Median
17	Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy	$2.0M	$2,383.40	1.5× median	Above Median
18	1194824060	$1.9M	$1,848.92	1.1× median	Above Median
19	1518948413	$1.6M	$3,246.52	2.0× median	Above 75th
20	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$1.6M	$2,334.77	1.4× median	Above Median

Showing top 20 of 131 providers billing this code

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