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#1679 of 11K

20550

HCPCS Procedure Code

HCPCS code 20550 is the #1,679 most-billed Medicaid procedure code, with $16.3M in payments across 385K claims from 2018–2024. The national median cost per claim is $29.96. Costs vary widely — the 90th percentile is $82.78 per claim, 2.8× the median.

Total Paid

$16.3M

0.00% of all spending

Total Claims

385K

Providers

954

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 20550? Based on 917 providers billing this code nationally.

Median

$29.96

Average

$43.71

Std Dev

$52.57

Max

$728.68

Percentile Distribution (Cost per Claim)

p10
$10.09
p25
$20.68
Median
$29.96
p75
$43.42
p90
$82.78
p95
$148.55
p99
$259.20

50% of providers bill between $20.68 and $43.42 per claim for this code.

90% bill between $10.09 and $82.78.

Top 1% bill above $259.20.

About This Procedure

HCPCS code 20550 was billed by 954 providers across 385K claims, totaling $16.3M in Medicaid payments from 2018–2024. This code was used for 272K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.96

Providers Billing

917

National Spending

$16.3M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 20550

#ProviderTotal Paid
11013013002$991K
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$634K
3Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$459K
4Parcare Community Health Network Inc

Brooklyn, NY · Specialist

$446K
5Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$432K
6Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$369K
7Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$356K
81508274630$347K
9The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$301K
10Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$289K
11Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$272K
12The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$258K
13Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$226K
141649212572$209K
15Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$201K
161114225950$198K
17Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$172K
18Montefiore Medical Center

Bronx, NY · Anesthesiology

$154K
191740227909$139K
201679011209$132K

Showing top 20 of 954 providers billing this code