Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1278 of 11K

82803

HCPCS Procedure Code

HCPCS code 82803 is the #1,278 most-billed Medicaid procedure code, with $29.5M in payments across 3.2M claims from 2018–2024. The national median cost per claim is $8.90. Costs vary widely — the 90th percentile is $26.96 per claim, 3.0× the median.

Total Paid

$29.5M

0.00% of all spending

Total Claims

3.2M

Providers

2K

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 82803? Based on 2K providers billing this code nationally.

Median

$8.90

Average

$13.54

Std Dev

$36.04

Max

$1,205.58

Percentile Distribution (Cost per Claim)

p10
$0.48
p25
$2.20
Median
$8.90
p75
$16.06
p90
$26.96
p95
$37.21
p99
$99.52

50% of providers bill between $2.20 and $16.06 per claim for this code.

90% bill between $0.48 and $26.96.

Top 1% bill above $99.52.

About This Procedure

HCPCS code 82803 was billed by 2K providers across 3.2M claims, totaling $29.5M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.90

Providers Billing

2K

National Spending

$29.5M

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 82803

#ProviderTotal Paid
11740215219$1.4M
2Ihc Health Services, Inc.

Salt Lake City, UT · Psychiatric Unit

$755K
31922008150$642K
41588712285$607K
5Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$596K
6Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$532K
7Stanford Health Care

Stanford, CA · General Acute Care Hospital

$526K
8Integrated Regional Laboratories Pathology Services Llc

Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology

$409K
9Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$381K
101114902814$380K
11West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$365K
12The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$360K
13The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$330K
14Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$326K
15State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$311K
16Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$304K
17Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$293K
18The Brookdale Hospital Medical Center

Brooklyn, NY · General Acute Care Hospital

$273K
19Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$273K
201457343931$246K

Showing top 20 of 2K providers billing this code