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#2905 of 11K

31500

HCPCS Procedure Code

HCPCS code 31500 is the #2,905 most-billed Medicaid procedure code, with $3.1M in payments across 44K claims from 2018–2024. The national median cost per claim is $62.71.

Total Paid

$3.1M

0.00% of all spending

Total Claims

44K

Providers

189

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for 31500? Based on 180 providers billing this code nationally.

Median

$62.71

Average

$67.40

Std Dev

$60.36

Max

$458.71

Percentile Distribution (Cost per Claim)

p10
$14.65
p25
$34.42
Median
$62.71
p75
$78.65
p90
$97.95
p95
$149.57
p99
$303.27

50% of providers bill between $34.42 and $78.65 per claim for this code.

90% bill between $14.65 and $97.95.

Top 1% bill above $303.27.

About This Procedure

HCPCS code 31500 was billed by 189 providers across 44K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.71

Providers Billing

180

National Spending

$3.1M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31500

#ProviderTotal Paid
1Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$275K
21902855711$242K
31225083595$176K
41952740656$156K
51871986372$142K
61972681187$133K
71831140367$114K
81093756025$106K
9Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$104K
101801871934$98K
111265976971$90K
121992281000$89K
131780791343$85K
14William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$74K
151972126209$70K
161013021310$65K
171124248752$63K
18West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$61K
191003989690$56K
201417961137$49K

Showing top 20 of 189 providers billing this code

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