31237
HCPCS Procedure Code
HCPCS code 31237 is the #1,835 most-billed Medicaid procedure code, with $13.0M in payments across 42K claims from 2018–2024. The national median cost per claim is $211.06.
Total Paid
$13.0M
0.00% of all spending
Total Claims
42K
Providers
136
Avg Cost/Claim
$309
National Cost Distribution
How much do providers bill per claim for 31237? Based on 133 providers billing this code nationally.
Median
$211.06
Average
$272.92
Std Dev
$245.95
Max
$1,452.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $156.91 and $305.63 per claim for this code.
90% bill between $97.57 and $401.87.
Top 1% bill above $1,393.21.
About This Procedure
HCPCS code 31237 was billed by 136 providers across 42K claims, totaling $13.0M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$211.06
Providers Billing
133
National Spending
$13.0M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 31237
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639189236 | $2.7M |
| 2 | 1639101751 | $832K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $751K |
| 4 | 1811992761 | $697K |
| 5 | 1942489042 | $655K |
| 6 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $510K |
| 7 | 1285716886 | $449K |
| 8 | 1205229903 | $383K |
| 9 | North Shore-lij Medical Pc Great Neck, NY · Urology | $372K |
| 10 | 1679660617 | $331K |
| 11 | 1710113949 | $297K |
| 12 | 1144227539 | $253K |
| 13 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $243K |
| 14 | 1538302997 | $241K |
| 15 | 1477957504 | $201K |
| 16 | 1700966090 | $191K |
| 17 | University Of California Irvine Orange, CA · General Acute Care Hospital | $185K |
| 18 | University Of Washington Seattle, WA · Clinic/Center, Dental | $180K |
| 19 | 1427536325 | $178K |
| 20 | 1972630705 | $167K |
Showing top 20 of 136 providers billing this code