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#6230 of 11K

31505

HCPCS Procedure Code

HCPCS code 31505 is the #6,230 most-billed Medicaid procedure code, with $82K in payments across 2K claims from 2018–2024. The national median cost per claim is $44.99.

Total Paid

$82K

0.00% of all spending

Total Claims

2K

Providers

18

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 31505? Based on 18 providers billing this code nationally.

Median

$44.99

Average

$48.65

Std Dev

$34.96

Max

$139.22

Percentile Distribution (Cost per Claim)

p10
$9.84
p25
$23.72
Median
$44.99
p75
$67.54
p90
$89.23
p95
$97.00
p99
$130.77

50% of providers bill between $23.72 and $67.54 per claim for this code.

90% bill between $9.84 and $89.23.

Top 1% bill above $130.77.

About This Procedure

HCPCS code 31505 was billed by 18 providers across 2K claims, totaling $82K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.99

Providers Billing

18

National Spending

$82K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31505

#ProviderTotal Paid
11720290349$15K
2The Queens Medical Center

Honolulu, HI · Psychiatric Unit

$15K
31922578822$9K
41255314688$8K
51740345669$8K
61518698141$7K
7Atlanticare Regional Medical Center

Pomona, NJ · General Acute Care Hospital

$7K
81740624246$3K
91497816508$2K
101427155639$2K
111568534766$847
121659560100$829
131164423828$721
141295893345$668
151699786848$607
161366425274$533
171487659975$125
181851400527$70

Showing top 18 of 18 providers billing this code

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