99238
Hospital discharge day management, 30 minutes or less
Hospital discharge day management, 30 minutes or less is the #334 most-billed Medicaid procedure code, with $402.6M in payments across 9.1M claims from 2018–2024. The national median cost per claim is $37.22.
Total Paid
$402.6M
0.04% of all spending
Total Claims
9.1M
Providers
11K
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 99238? Based on 11K providers billing this code nationally.
Median
$37.22
Average
$39.12
Std Dev
$28.67
Max
$1,114.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.85 and $50.52 per claim for this code.
90% bill between $14.00 and $62.50.
Top 1% bill above $117.96.
About This Procedure
HCPCS code 99238 (Hospital discharge day management, 30 minutes or less) was billed by 11K providers across 9.1M claims, totaling $402.6M in Medicaid payments from 2018–2024. This code was used for 8.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.22
Providers Billing
11K
National Spending
$402.6M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99238
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649377359 | $10.2M |
| 2 | Magella Medical Associates Billing, Inc. Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine | $4.1M |
| 3 | 1619987302 | $2.6M |
| 4 | Texas Children's Physician Group Houston, TX · Pediatrics | $2.5M |
| 5 | 1225034234 | $2.4M |
| 6 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $2.4M |
| 7 | 1972695260 | $2.3M |
| 8 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $2.0M |
| 9 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $2.0M |
| 10 | 1609915784 | $2.0M |
| 11 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $2.0M |
| 12 | 1508014895 | $1.9M |
| 13 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $1.8M |
| 14 | 1134163942 | $1.8M |
| 15 | Ou Health Partners, Inc Oklahoma City, OK · Clinic/Center, Multi-Specialty | $1.8M |
| 16 | 1497852107 | $1.8M |
| 17 | 1558468256 | $1.8M |
| 18 | 1801869250 | $1.7M |
| 19 | Ut Physicians Houston, TX · Emergency Medicine | $1.6M |
| 20 | 1700894466 | $1.6M |
Showing top 20 of 11K providers billing this code