#5279 of 11K

73551

HCPCS Procedure Code

HCPCS code 73551 is the #5,279 most-billed Medicaid procedure code, with $243K in payments across 32K claims from 2018–2024. The national median cost per claim is $6.82. Costs vary widely — the 90th percentile is $29.53 per claim, 4.3× the median.

Total Paid

$243K

0.00% of all spending

Total Claims

32K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 73551? Based on 52 providers billing this code nationally.

Median

$6.82

Average

$11.69

Std Dev

$10.54

Max

$43.90

Percentile Distribution (Cost per Claim)

p10

$3.13

p25

$4.37

Median

$6.82

p75

$15.16

p90

$29.53

p95

$32.98

p99

$41.53

50% of providers bill between $4.37 and $15.16 per claim for this code.

90% bill between $3.13 and $29.53.

Top 1% bill above $41.53.

About This Procedure

HCPCS code 73551 was billed by 57 providers across 32K claims, totaling $243K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.82

Providers Billing

National Spending

$243K

Avg/Median Ratio

1.71×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 73551

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1649794157	$33K	$16.29	2.4× median	Above 75th
2	Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital	$30K	$13.06	1.9× median	Above Median
3	1700865094	$29K	$2.25	0.3× median	Below Median
4	Ou Health Partners, Inc Oklahoma City, OK · Clinic/Center, Multi-Specialty	$28K	$13.48	2.0× median	Above Median
5	1801869250	$21K	$12.84	1.9× median	Above Median
6	1720166325	$14K	$6.93	1.0× median	Above Median
7	1487740957	$12K	$13.42	2.0× median	Above Median
8	Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health	$10K	$17.32	2.5× median	Above 75th
9	Saint Mary's Hospital, Inc. Waterbury, CT · General Acute Care Hospital	$9K	$15.19	2.2× median	Above 75th
10	1275271462	$7K	$8.78	1.3× median	Above Median
11	1154015592	$7K	$17.45	2.6× median	Above 75th
12	1710065933	$6K	$31.20	4.6× median	Top 10%
13	1740228311	$5K	$43.90	6.4× median	Top 1%
14	1699874248	$5K	$27.75	4.1× median	Above 75th
15	1336187475	$3K	$30.68	4.5× median	Top 10%
16	1750364345	$3K	$6.66	1.0× median	Below Median
17	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$2K	$10.88	1.6× median	Above Median
18	1376719666	$2K	$4.38	0.6× median	Below Median
19	1669425658	$2K	$4.36	0.6× median	Below Median
20	1316254857	$2K	$6.71	1.0× median	Below Median

Showing top 20 of 57 providers billing this code

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73560$44.3M 73552$10.6M

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