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#486 of 11K

31231

Nasal endoscopy, diagnostic

Nasal endoscopy, diagnostic is the #486 most-billed Medicaid procedure code, with $191.3M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $98.77.

Total Paid

$191.3M

0.02% of all spending

Total Claims

1.5M

Providers

1K

Avg Cost/Claim

$127

National Cost Distribution

How much do providers bill per claim for 31231? Based on 1K providers billing this code nationally.

Median

$98.77

Average

$110.00

Std Dev

$65.90

Max

$490.02

Percentile Distribution (Cost per Claim)

p10
$35.53
p25
$60.45
Median
$98.77
p75
$150.36
p90
$195.16
p95
$220.28
p99
$313.30

50% of providers bill between $60.45 and $150.36 per claim for this code.

90% bill between $35.53 and $195.16.

Top 1% bill above $313.30.

About This Procedure

HCPCS code 31231 (Nasal endoscopy, diagnostic) was billed by 1K providers across 1.5M claims, totaling $191.3M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.77

Providers Billing

1K

National Spending

$191.3M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31231

#ProviderTotal Paid
11376598326$27.0M
21811992761$6.6M
3North Shore-lij Medical Pc

Great Neck, NY · Urology

$3.6M
41124079769$3.2M
51740345669$3.0M
61942489042$2.9M
71679609465$2.4M
81710113949$2.4M
91841484235$2.1M
101154614436$2.1M
111639189236$2.1M
121912039710$1.8M
131508266347$1.6M
141003865908$1.6M
151538407176$1.6M
161205851011$1.5M
17Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.4M
181861592867$1.4M
191639101751$1.4M
201134153083$1.3M

Showing top 20 of 1K providers billing this code