#5467 of 11K

73580

HCPCS Procedure Code

HCPCS code 73580 is the #5,467 most-billed Medicaid procedure code, with $193K in payments across 13K claims from 2018–2024. The national median cost per claim is $6.10. Costs vary widely — the 90th percentile is $41.00 per claim, 6.7× the median.

Total Paid

$193K

0.00% of all spending

Total Claims

13K

Providers

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 73580? Based on 21 providers billing this code nationally.

Median

$6.10

Average

$15.30

Std Dev

$17.47

Max

$58.60

Percentile Distribution (Cost per Claim)

p10

$1.16

p25

$2.49

Median

$6.10

p75

$25.30

p90

$41.00

p95

$45.51

p99

$55.98

50% of providers bill between $2.49 and $25.30 per claim for this code.

90% bill between $1.16 and $41.00.

Top 1% bill above $55.98.

About This Procedure

HCPCS code 73580 was billed by 24 providers across 13K claims, totaling $193K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.10

Providers Billing

National Spending

$193K

Avg/Median Ratio

2.51×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 73580

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1710409529	$119K	$58.60	9.6× median	Top 1%
2	1235271958	$34K	$45.51	7.5× median	Top 10%
3	1730359530	$10K	$4.14	0.7× median	Below Median
4	1508879750	$10K	$25.30	4.1× median	Above Median
5	1568808772	$5K	$4.01	0.7× median	Below Median
6	1730371865	$2K	$41.00	6.7× median	Above 75th
7	1083101075	$2K	$6.10	1.0× median	Above Median
8	1295861557	$2K	$0.63	0.1× median	Below Median
9	1437555299	$2K	$18.36	3.0× median	Above Median
10	1306202296	$1K	$1.59	0.3× median	Below Median
11	1518478783	$1K	$35.24	5.8× median	Above 75th
12	1881640100	$873	$33.59	5.5× median	Above 75th
13	1356536064	$795	$11.52	1.9× median	Above Median
14	1225267388	$518	$3.83	0.6× median	Below Median
15	1366826299	$418	$0.74	0.1× median	Below Median
16	1982872990	$358	$3.14	0.5× median	Below Median
17	1023186145	$309	$12.35	2.0× median	Above Median
18	1235592874	$277	$1.16	0.2× median	Below Median
19	1952505356	$177	$2.39	0.4× median	Below Median
20	1902918279	$116	$9.70	1.6× median	Above Median

Showing top 20 of 24 providers billing this code

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