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#7662 of 11K

H0038CR

HCPCS Procedure Code

HCPCS code H0038CR is the #7,662 most-billed Medicaid procedure code, with $12K in payments across 257 claims from 2018–2024. The national median cost per claim is $54.80.

Total Paid

$12K

0.00% of all spending

Total Claims

257

Providers

7

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for H0038CR? Based on 6 providers billing this code nationally.

Median

$54.80

Average

$55.45

Std Dev

$20.96

Max

$80.46

Percentile Distribution (Cost per Claim)

p10
$34.65
p25
$38.13
Median
$54.80
p75
$72.10
p90
$76.89
p95
$78.67
p99
$80.10

50% of providers bill between $38.13 and $72.10 per claim for this code.

90% bill between $34.65 and $76.89.

Top 1% bill above $80.10.

About This Procedure

HCPCS code H0038CR was billed by 7 providers across 257 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 172 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.80

Providers Billing

6

National Spending

$12K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0038CR

#ProviderTotal Paid
11568822211$8K
21720514920$2K
31265959100$1K
41306072061$740
51760528913$631
61043446966$576
7Partners Behavioral Health Management

Gastonia, NC · Clinic/Center Mental Health (Including Community Mental Health Center)

$0

Showing top 7 of 7 providers billing this code

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