43248
HCPCS Procedure Code
HCPCS code 43248 is the #2,158 most-billed Medicaid procedure code, with $8.4M in payments across 60K claims from 2018–2024. The national median cost per claim is $115.74. Costs vary widely — the 90th percentile is $366.09 per claim, 3.2× the median.
Total Paid
$8.4M
0.00% of all spending
Total Claims
60K
Providers
197
Avg Cost/Claim
$140
National Cost Distribution
How much do providers bill per claim for 43248? Based on 195 providers billing this code nationally.
Median
$115.74
Average
$170.91
Std Dev
$143.30
Max
$844.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $74.16 and $225.13 per claim for this code.
90% bill between $52.10 and $366.09.
Top 1% bill above $609.48.
About This Procedure
HCPCS code 43248 was billed by 197 providers across 60K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$115.74
Providers Billing
195
National Spending
$8.4M
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 43248
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780727636 | $688K |
| 2 | 1568638047 | $439K |
| 3 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $436K |
| 4 | 1093713091 | $383K |
| 5 | 1740277821 | $349K |
| 6 | 1093781601 | $323K |
| 7 | 1538242649 | $272K |
| 8 | 1649376112 | $239K |
| 9 | 1558475459 | $230K |
| 10 | 1659368900 | $209K |
| 11 | 1447231956 | $206K |
| 12 | 1891740585 | $181K |
| 13 | 1114912102 | $179K |
| 14 | 1245352327 | $178K |
| 15 | 1093736795 | $176K |
| 16 | 1356528269 | $150K |
| 17 | 1487651956 | $139K |
| 18 | 1407805971 | $136K |
| 19 | 1831349406 | $133K |
| 20 | 1598042343 | $132K |
Showing top 20 of 197 providers billing this code