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

#2656 of 11K

88300

HCPCS Procedure Code

HCPCS code 88300 is the #2,656 most-billed Medicaid procedure code, with $4.3M in payments across 452K claims from 2018–2024. The national median cost per claim is $4.76. Costs vary widely — the 90th percentile is $15.43 per claim, 3.2× the median.

Total Paid

$4.3M

0.00% of all spending

Total Claims

452K

Providers

889

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 88300? Based on 810 providers billing this code nationally.

Median

$4.76

Average

$11.84

Std Dev

$56.75

Max

$1,073.02

Percentile Distribution (Cost per Claim)

p10
$1.00
p25
$2.77
Median
$4.76
p75
$8.13
p90
$15.43
p95
$21.38
p99
$114.17

50% of providers bill between $2.77 and $8.13 per claim for this code.

90% bill between $1.00 and $15.43.

Top 1% bill above $114.17.

About This Procedure

HCPCS code 88300 was billed by 889 providers across 452K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 421K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.76

Providers Billing

810

National Spending

$4.3M

Avg/Median Ratio

2.49×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 88300

#ProviderTotal Paid
1Driscoll Childrens Hospital

Corpus Christi, TX · Speech-Language Pathologist,

$475K
21508935891$340K
31144775032$266K
41649726738$179K
51578504056$164K
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$130K
7Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$121K
8State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$92K
91457309270$85K
101770532798$63K
111659489631$56K
121932280666$54K
13Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$52K
141669617197$49K
151154373843$48K
161811081797$46K
17Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$44K
18St. Barnabas Hospital

Bronx, NY · General Acute Care Hospital

$41K
191093843450$40K
20Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$35K

Showing top 20 of 889 providers billing this code