#4991 of 11K

88177

HCPCS Procedure Code

HCPCS code 88177 is the #4,991 most-billed Medicaid procedure code, with $326K in payments across 10K claims from 2018–2024. The national median cost per claim is $27.45. Costs vary widely — the 90th percentile is $58.63 per claim, 2.1× the median.

Total Paid

$326K

0.00% of all spending

Total Claims

10K

Providers

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 88177? Based on 28 providers billing this code nationally.

Median

$27.45

Average

$30.86

Std Dev

$21.71

Max

$87.07

Percentile Distribution (Cost per Claim)

p10

$4.35

p25

$12.68

Median

$27.45

p75

$45.63

p90

$58.63

p95

$61.03

p99

$80.27

50% of providers bill between $12.68 and $45.63 per claim for this code.

90% bill between $4.35 and $58.63.

Top 1% bill above $80.27.

About This Procedure

HCPCS code 88177 was billed by 29 providers across 10K claims, totaling $326K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.45

Providers Billing

National Spending

$326K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88177

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1740246545	$60K	$31.84	1.2× median	Above Median
2	1093959355	$57K	$61.88	2.3× median	Top 10%
3	1376544510	$48K	$29.41	1.1× median	Above Median
4	1740460583	$40K	$28.98	1.1× median	Above Median
5	1144256009	$27K	$59.46	2.2× median	Top 10%
6	Chinatown True Care Medical Pllc New York, NY · Family Medicine	$18K	$43.38	1.6× median	Above Median
7	Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital	$17K	$33.42	1.2× median	Above Median
8	1942661624	$13K	$57.49	2.1× median	Above 75th
9	1447299797	$10K	$25.93	0.9× median	Below Median
10	1558311811	$8K	$40.44	1.5× median	Above Median
11	1689009854	$7K	$21.64	0.8× median	Below Median
12	1063870699	$4K	$23.68	0.9× median	Below Median
13	University Of California Irvine Orange, CA · General Acute Care Hospital	$4K	$18.61	0.7× median	Below Median
14	Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit	$3K	$45.58	1.7× median	Above Median
15	Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health	$3K	$87.07	3.2× median	Top 1%
16	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$2K	$3.58	0.1× median	Below Median
17	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$2K	$12.09	0.4× median	Below Median
18	1972086650	$699	$58.28	2.1× median	Above 75th
19	1215921549	$647	$12.69	0.5× median	Below Median
20	Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy	$629	$52.42	1.9× median	Above 75th

Showing top 20 of 29 providers billing this code

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