#2444 of 11K

K0825

HCPCS Procedure Code

HCPCS code K0825 is the #2,444 most-billed Medicaid procedure code, with $5.8M in payments across 53K claims from 2018–2024. The national median cost per claim is $150.86. Costs vary widely — the 90th percentile is $388.61 per claim, 2.6× the median.

Total Paid

$5.8M

0.00% of all spending

Total Claims

53K

Providers

Avg Cost/Claim

$108

National Cost Distribution

How much do providers bill per claim for K0825? Based on 73 providers billing this code nationally.

Median

$150.86

Average

$192.04

Std Dev

$187.21

Max

$949.84

Percentile Distribution (Cost per Claim)

p10

$38.71

p25

$80.51

Median

$150.86

p75

$216.44

p90

$388.61

p95

$598.16

p99

$920.90

50% of providers bill between $80.51 and $216.44 per claim for this code.

90% bill between $38.71 and $388.61.

Top 1% bill above $920.90.

About This Procedure

HCPCS code K0825 was billed by 73 providers across 53K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$150.86

Providers Billing

National Spending

$5.8M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0825

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1023096104	$978K	$61.93	0.4× median	Below Median
2	1326077249	$394K	$201.95	1.3× median	Above Median
3	1538576509	$363K	$449.59	3.0× median	Top 10%
4	1538373998	$339K	$99.76	0.7× median	Below Median
5	1790714624	$302K	$123.14	0.8× median	Below Median
6	1568491496	$246K	$246.17	1.6× median	Above 75th
7	1003065418	$234K	$89.19	0.6× median	Below Median
8	1518231547	$200K	$226.47	1.5× median	Above 75th
9	1821418187	$196K	$164.71	1.1× median	Above Median
10	1215039466	$189K	$161.84	1.1× median	Above Median
11	1720196983	$179K	$86.36	0.6× median	Below Median
12	1730182023	$178K	$415.44	2.8× median	Top 10%
13	1457396376	$139K	$31.12	0.2× median	Below Median
14	1184653024	$126K	$86.19	0.6× median	Below Median
15	1417927997	$118K	$169.73	1.1× median	Above Median
16	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$113K	$216.44	1.4× median	Above 75th
17	1720351786	$112K	$55.39	0.4× median	Below Median
18	1851320774	$109K	$183.86	1.2× median	Above Median
19	1487718250	$107K	$112.01	0.7× median	Below Median
20	1487613428	$89K	$150.86	1.0× median	Above Median

Showing top 20 of 73 providers billing this code

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