K0052
HCPCS Procedure Code
HCPCS code K0052 is the #6,859 most-billed Medicaid procedure code, with $39K in payments across 13K claims from 2018–2024. The national median cost per claim is $3.50. Costs vary widely — the 90th percentile is $45.34 per claim, 13.0× the median.
Total Paid
$39K
0.00% of all spending
Total Claims
13K
Providers
37
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for K0052? Based on 31 providers billing this code nationally.
Median
$3.50
Average
$16.24
Std Dev
$30.27
Max
$112.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.94 and $9.39 per claim for this code.
90% bill between $0.43 and $45.34.
Top 1% bill above $106.98.
About This Procedure
HCPCS code K0052 was billed by 37 providers across 13K claims, totaling $39K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.50
Providers Billing
31
National Spending
$39K
Avg/Median Ratio
4.64×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for K0052
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114915634 | $11K |
| 2 | 1093716334 | $9K |
| 3 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $5K |
| 4 | 1053400960 | $4K |
| 5 | 1538576509 | $1K |
| 6 | 1396713525 | $1K |
| 7 | 1568464295 | $1K |
| 8 | 1578531356 | $816 |
| 9 | 1164426144 | $615 |
| 10 | 1639108798 | $530 |
| 11 | 1730182023 | $522 |
| 12 | Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | $485 |
| 13 | 1407245293 | $416 |
| 14 | 1366605677 | $329 |
| 15 | 1265523625 | $311 |
| 16 | 1497783088 | $292 |
| 17 | 1891275590 | $226 |
| 18 | 1134120074 | $221 |
| 19 | 1790771178 | $212 |
| 20 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $199 |
Showing top 20 of 37 providers billing this code