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#3138 of 11K

19081

HCPCS Procedure Code

HCPCS code 19081 is the #3,138 most-billed Medicaid procedure code, with $2.4M in payments across 6K claims from 2018–2024. The national median cost per claim is $528.59. Costs vary widely — the 90th percentile is $1,425.82 per claim, 2.7× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

6K

Providers

55

Avg Cost/Claim

$422

National Cost Distribution

How much do providers bill per claim for 19081? Based on 55 providers billing this code nationally.

Median

$528.59

Average

$635.34

Std Dev

$506.99

Max

$1,890.95

Percentile Distribution (Cost per Claim)

p10
$92.30
p25
$193.39
Median
$528.59
p75
$951.67
p90
$1,425.82
p95
$1,633.65
p99
$1,809.69

50% of providers bill between $193.39 and $951.67 per claim for this code.

90% bill between $92.30 and $1,425.82.

Top 1% bill above $1,809.69.

About This Procedure

HCPCS code 19081 was billed by 55 providers across 6K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$528.59

Providers Billing

55

National Spending

$2.4M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 19081

#ProviderTotal Paid
1New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$475K
2Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$405K
3Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$286K
4Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$163K
5District Hospital Partners L P

Washington, DC · Nurse Practitioner, Family

$144K
6Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$60K
7Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$45K
81740283324$43K
9William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$43K
101104859131$43K
111033183603$41K
12William Beaumont Hospital

Royal Oak, MI · General Acute Care Hospital

$41K
13Stamford Hospital

Stamford, CT · Hospitalist

$40K
14Saint Mary's Hospital, Inc.

Waterbury, CT · General Acute Care Hospital

$40K
15The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$39K
161407850738$31K
171679529978$28K
181558523316$26K
191508405317$24K
20Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$23K

Showing top 20 of 55 providers billing this code