31238
HCPCS Procedure Code
HCPCS code 31238 is the #5,838 most-billed Medicaid procedure code, with $130K in payments across 720 claims from 2018–2024. The national median cost per claim is $233.98. Costs vary widely — the 90th percentile is $531.43 per claim, 2.3× the median.
Total Paid
$130K
0.00% of all spending
Total Claims
720
Providers
17
Avg Cost/Claim
$181
National Cost Distribution
How much do providers bill per claim for 31238? Based on 17 providers billing this code nationally.
Median
$233.98
Average
$283.78
Std Dev
$200.43
Max
$812.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $169.88 and $292.80 per claim for this code.
90% bill between $122.90 and $531.43.
Top 1% bill above $794.14.
About This Procedure
HCPCS code 31238 was billed by 17 providers across 720 claims, totaling $130K in Medicaid payments from 2018–2024. This code was used for 573 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$233.98
Providers Billing
17
National Spending
$130K
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 31238
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1841484235 | $26K |
| 2 | 1265764484 | $17K |
| 3 | 1861629073 | $12K |
| 4 | 1689664906 | $11K |
| 5 | 1003865908 | $11K |
| 6 | 1225323389 | $8K |
| 7 | 1013309459 | $8K |
| 8 | 1124026422 | $8K |
| 9 | 1083713101 | $4K |
| 10 | 1063643641 | $4K |
| 11 | 1508978271 | $4K |
| 12 | 1922273119 | $3K |
| 13 | 1619967254 | $3K |
| 14 | 1124079769 | $3K |
| 15 | 1912039710 | $2K |
| 16 | 1558475087 | $2K |
| 17 | 1235198250 | $1K |
Showing top 17 of 17 providers billing this code