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#862 of 11K

31575

HCPCS Procedure Code

HCPCS code 31575 is the #862 most-billed Medicaid procedure code, with $66.2M in payments across 720K claims from 2018–2024. The national median cost per claim is $68.78.

Total Paid

$66.2M

0.01% of all spending

Total Claims

720K

Providers

1K

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for 31575? Based on 1K providers billing this code nationally.

Median

$68.78

Average

$82.91

Std Dev

$68.20

Max

$1,009.84

Percentile Distribution (Cost per Claim)

p10
$30.68
p25
$46.30
Median
$68.78
p75
$101.59
p90
$133.95
p95
$181.25
p99
$377.17

50% of providers bill between $46.30 and $101.59 per claim for this code.

90% bill between $30.68 and $133.95.

Top 1% bill above $377.17.

About This Procedure

HCPCS code 31575 was billed by 1K providers across 720K claims, totaling $66.2M in Medicaid payments from 2018–2024. This code was used for 673K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.78

Providers Billing

1K

National Spending

$66.2M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31575

#ProviderTotal Paid
11376598326$2.2M
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2.1M
31639101751$1.7M
4Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$1.3M
5Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.3M
61740345669$1.0M
7Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$970K
8The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$836K
9Tufts Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$812K
10The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$731K
11Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$724K
12Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$713K
131639189236$688K
14North Shore-lij Medical Pc

Great Neck, NY · Urology

$687K
15University Hospital

Newark, NJ · General Acute Care Hospital

$603K
16Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$597K
171306281126$587K
181124079769$579K
19Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$494K
20The Cooper Health System

Camden, NJ · General Acute Care Hospital

$456K

Showing top 20 of 1K providers billing this code