V5247
HCPCS Procedure Code
HCPCS code V5247 is the #3,286 most-billed Medicaid procedure code, with $2.0M in payments across 2,168 claims from 2018–2024. The national median cost per claim is $810.50.
Total Paid
$2.0M
0.00% of all spending
Total Claims
2,168
Providers
6
Avg Cost/Claim
$936
National Cost Distribution
How much do providers bill per claim for V5247? Based on 6 providers billing this code nationally.
Median
$810.50
Average
$800.09
Std Dev
$310.33
Max
$1,242.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $628.72 and $955.47 per claim for this code.
90% bill between $488.88 and $1,100.90.
Top 1% bill above $1,228.43.
About This Procedure
HCPCS code V5247 was billed by 6 providers across 2,168 claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 1,183 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$810.50
Providers Billing
6
National Spending
$2.0M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for V5247
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.6M |
| 2 | 1053309864 | $160K |
| 3 | 1053765388 | $115K |
| 4 | 1417590076 | $100K |
| 5 | 1255485215 | $43K |
| 6 | 1295889335 | $7K |
Showing top 6 of 6 providers billing this code