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#4400 of 11K

29530

HCPCS Procedure Code

HCPCS code 29530 is the #4,400 most-billed Medicaid procedure code, with $613K in payments across 32K claims from 2018–2024. The national median cost per claim is $14.43. Costs vary widely — the 90th percentile is $32.78 per claim, 2.3× the median.

Total Paid

$613K

0.00% of all spending

Total Claims

32K

Providers

90

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 29530? Based on 85 providers billing this code nationally.

Median

$14.43

Average

$28.40

Std Dev

$59.90

Max

$401.63

Percentile Distribution (Cost per Claim)

p10
$2.77
p25
$6.92
Median
$14.43
p75
$21.78
p90
$32.78
p95
$143.81
p99
$274.67

50% of providers bill between $6.92 and $21.78 per claim for this code.

90% bill between $2.77 and $32.78.

Top 1% bill above $274.67.

About This Procedure

HCPCS code 29530 was billed by 90 providers across 32K claims, totaling $613K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.43

Providers Billing

85

National Spending

$613K

Avg/Median Ratio

1.97×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 29530

#ProviderTotal Paid
11508979162$166K
2New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$88K
31881103133$30K
41285798033$26K
51104927342$26K
61427416668$24K
71750592838$22K
81528569316$21K
9Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$20K
101639314255$19K
11Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$17K
121881762516$15K
131093756025$10K
141124035258$9K
15Public Hospital District 1 Of King County

Renton, WA · General Acute Care Hospital

$9K
161053644153$6K
171790030385$6K
181053712166$6K
191003231754$6K
201275583726$6K

Showing top 20 of 90 providers billing this code

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