#4845 of 11K

57452

HCPCS Procedure Code

HCPCS code 57452 is the #4,845 most-billed Medicaid procedure code, with $378K in payments across 5K claims from 2018–2024. The national median cost per claim is $67.79. Costs vary widely — the 90th percentile is $162.96 per claim, 2.4× the median.

Total Paid

$378K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$79

National Cost Distribution

How much do providers bill per claim for 57452? Based on 37 providers billing this code nationally.

Median

$67.79

Average

$86.57

Std Dev

$72.53

Max

$328.39

Percentile Distribution (Cost per Claim)

p10

$27.64

p25

$46.15

Median

$67.79

p75

$97.15

p90

$162.96

p95

$269.85

p99

$308.49

50% of providers bill between $46.15 and $97.15 per claim for this code.

90% bill between $27.64 and $162.96.

Top 1% bill above $308.49.

About This Procedure

HCPCS code 57452 was billed by 40 providers across 5K claims, totaling $378K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.79

Providers Billing

National Spending

$378K

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 57452

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$106K	$196.27	2.9× median	Top 10%
2	1215448303	$46K	$67.90	1.0× median	Above Median
3	1447253638	$34K	$67.82	1.0× median	Above Median
4	1639267214	$27K	$46.04	0.7× median	Below Median
5	1952362774	$24K	$86.20	1.3× median	Above Median
6	Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital	$20K	$104.32	1.5× median	Above 75th
7	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$16K	$269.03	4.0× median	Top 10%
8	1831169473	$15K	$140.76	2.1× median	Above 75th
9	1710079801	$13K	$113.62	1.7× median	Above 75th
10	1922180280	$10K	$77.99	1.2× median	Above Median
11	Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist,	$8K	$273.13	4.0× median	Top 10%
12	1124588793	$7K	$21.12	0.3× median	Below Median
13	1073552493	$5K	$69.36	1.0× median	Above Median
14	1538263728	$5K	$63.79	0.9× median	Below Median
15	The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital	$5K	$328.39	4.8× median	Top 1%
16	1952369837	$4K	$97.15	1.4× median	Above Median
17	1932381530	$4K	$28.72	0.4× median	Below Median
18	1033142278	$4K	$36.26	0.5× median	Below Median
19	1093904708	$4K	$64.27	0.9× median	Below Median
20	1851692560	$3K	$41.31	0.6× median	Below Median

Showing top 20 of 40 providers billing this code

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