#1392 of 11K

94375

HCPCS Procedure Code

HCPCS code 94375 is the #1,392 most-billed Medicaid procedure code, with $24.7M in payments across 795K claims from 2018–2024. The national median cost per claim is $17.23. Costs vary widely — the 90th percentile is $42.45 per claim, 2.5× the median.

Total Paid

$24.7M

0.00% of all spending

Total Claims

795K

Providers

869

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for 94375? Based on 813 providers billing this code nationally.

Median

$17.23

Average

$22.56

Std Dev

$28.94

Max

$400.61

Percentile Distribution (Cost per Claim)

p10

$3.09

p25

$7.44

Median

$17.23

p75

$27.60

p90

$42.45

p95

$59.08

p99

$134.37

50% of providers bill between $7.44 and $27.60 per claim for this code.

90% bill between $3.09 and $42.45.

Top 1% bill above $134.37.

About This Procedure

HCPCS code 94375 was billed by 869 providers across 795K claims, totaling $24.7M in Medicaid payments from 2018–2024. This code was used for 724K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.23

Providers Billing

813

National Spending

$24.7M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94375

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$3.0M	$135.20	7.8× median	Top 1%
2	Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children	$1.6M	$136.40	7.9× median	Top 1%
3	1114958584	$1.1M	$108.53	6.3× median	Top 10%
4	1760463970	$874K	$61.18	3.6× median	Top 10%
5	Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist,	$819K	$400.61	23.3× median	Top 1%
6	1639172372	$561K	$141.03	8.2× median	Top 1%
7	1457396541	$523K	$22.32	1.3× median	Above Median
8	1851457774	$515K	$53.45	3.1× median	Top 10%
9	1780797381	$513K	$18.25	1.1× median	Above Median
10	1346297843	$452K	$119.62	6.9× median	Top 10%
11	1033132857	$392K	$14.95	0.9× median	Below Median
12	1750366118	$376K	$22.92	1.3× median	Above Median
13	The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital	$363K	$109.60	6.4× median	Top 10%
14	1427536325	$336K	$85.59	5.0× median	Top 10%
15	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$322K	$42.50	2.5× median	Top 10%
16	1841573870	$320K	$42.16	2.4× median	Above 75th
17	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$305K	$107.95	6.3× median	Top 10%
18	1245562826	$303K	$30.32	1.8× median	Above 75th
19	1326015777	$293K	$57.82	3.4× median	Top 10%
20	1740555754	$272K	$49.52	2.9× median	Top 10%

Showing top 20 of 869 providers billing this code

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