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#3158 of 11K

H2038

HCPCS Procedure Code

HCPCS code H2038 is the #3,158 most-billed Medicaid procedure code, with $2.3M in payments across 35K claims from 2018–2024. The national median cost per claim is $67.30. Costs vary widely — the 90th percentile is $283.27 per claim, 4.2× the median.

Total Paid

$2.3M

0.00% of all spending

Total Claims

35K

Providers

11

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for H2038? Based on 11 providers billing this code nationally.

Median

$67.30

Average

$101.22

Std Dev

$91.44

Max

$284.53

Percentile Distribution (Cost per Claim)

p10
$46.00
p25
$55.68
Median
$67.30
p75
$76.74
p90
$283.27
p95
$283.90
p99
$284.41

50% of providers bill between $55.68 and $76.74 per claim for this code.

90% bill between $46.00 and $283.27.

Top 1% bill above $284.41.

About This Procedure

HCPCS code H2038 was billed by 11 providers across 35K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.30

Providers Billing

11

National Spending

$2.3M

Avg/Median Ratio

1.50×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for H2038

#ProviderTotal Paid
11124766704$948K
21295590206$387K
3Segnik Group Inc

Houston, TX · Supports Brokerage

$248K
41932862190$140K
5Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$131K
6Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$123K
71073863056$109K
81235847682$89K
91205608866$72K
101881369742$57K
111962122697$43K

Showing top 11 of 11 providers billing this code