#3396 of 11K

97018

Paraffin bath therapy

Paraffin bath therapy is the #3,396 most-billed Medicaid procedure code, with $1.8M in payments across 169K claims from 2018–2024. The national median cost per claim is $5.30. Costs vary widely — the 90th percentile is $20.60 per claim, 3.9× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

169K

Providers

163

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 97018? Based on 154 providers billing this code nationally.

Median

$5.30

Average

$10.93

Std Dev

$18.00

Max

$120.82

Percentile Distribution (Cost per Claim)

p10

$0.91

p25

$2.22

Median

$5.30

p75

$10.60

p90

$20.60

p95

$50.80

p99

$82.83

50% of providers bill between $2.22 and $10.60 per claim for this code.

90% bill between $0.91 and $20.60.

Top 1% bill above $82.83.

About This Procedure

HCPCS code 97018 (Paraffin bath therapy) was billed by 163 providers across 169K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 61K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.30

Providers Billing

154

National Spending

$1.8M

Avg/Median Ratio

2.06×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 97018

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	District Hospital Partners L P Washington, DC · Nurse Practitioner, Family	$311K	$120.82	22.8× median	Top 1%
2	Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital	$222K	$67.67	12.8× median	Top 10%
3	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$178K	$26.19	4.9× median	Top 10%
4	1487967014	$145K	$8.94	1.7× median	Above Median
5	1669505160	$115K	$11.13	2.1× median	Above 75th
6	1649316399	$61K	$7.49	1.4× median	Above Median
7	1750399192	$52K	$20.83	3.9× median	Top 10%
8	1952394603	$50K	$7.56	1.4× median	Above Median
9	1528061827	$47K	$7.92	1.5× median	Above Median
10	1477570315	$43K	$5.57	1.1× median	Above Median
11	1750559431	$39K	$6.92	1.3× median	Above Median
12	1417485889	$32K	$9.84	1.9× median	Above Median
13	Sports And Pain Interventions Psc Hormigueros, PR · Clinic/Center Pain	$25K	$8.62	1.6× median	Above Median
14	University Of Kentucky Lexington, KY · General Acute Care Hospital	$20K	$16.61	3.1× median	Above 75th
15	1417037946	$20K	$8.72	1.6× median	Above Median
16	1164851085	$20K	$6.93	1.3× median	Above Median
17	1902284144	$18K	$6.84	1.3× median	Above Median
18	1033299029	$17K	$5.53	1.0× median	Above Median
19	1104859131	$15K	$7.25	1.4× median	Above Median
20	1588663769	$14K	$48.32	9.1× median	Top 10%

Showing top 20 of 163 providers billing this code

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