Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4021 of 11K

29130

HCPCS Procedure Code

HCPCS code 29130 is the #4,021 most-billed Medicaid procedure code, with $925K in payments across 34K claims from 2018–2024. The national median cost per claim is $19.22. Costs vary widely — the 90th percentile is $187.71 per claim, 9.8× the median.

Total Paid

$925K

0.00% of all spending

Total Claims

34K

Providers

205

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 29130? Based on 179 providers billing this code nationally.

Median

$19.22

Average

$51.22

Std Dev

$70.54

Max

$283.40

Percentile Distribution (Cost per Claim)

p10
$2.69
p25
$5.17
Median
$19.22
p75
$54.72
p90
$187.71
p95
$212.69
p99
$259.64

50% of providers bill between $5.17 and $54.72 per claim for this code.

90% bill between $2.69 and $187.71.

Top 1% bill above $259.64.

About This Procedure

HCPCS code 29130 was billed by 205 providers across 34K claims, totaling $925K in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.22

Providers Billing

179

National Spending

$925K

Avg/Median Ratio

2.66×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 29130

#ProviderTotal Paid
1City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$130K
2Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$77K
31437774882$59K
41184828451$50K
51518912609$44K
61568688992$30K
7The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$25K
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$22K
9Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$20K
10Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$18K
11St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$18K
12Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$17K
131639314255$17K
14Rochester General Hospital

Rochester, NY · Dentist, General Practice

$15K
151336109107$15K
161598703019$14K
17Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$13K
18Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$13K
19Public Hospital District 1 Of King County

Renton, WA · General Acute Care Hospital

$12K
20Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$12K

Showing top 20 of 205 providers billing this code