#3555 of 11K

OP271

HCPCS Procedure Code

HCPCS code OP271 is the #3,555 most-billed Medicaid procedure code, with $1.5M in payments across 132K claims from 2018–2024. The national median cost per claim is $6.79. Costs vary widely — the 90th percentile is $19.61 per claim, 2.9× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

132K

Providers

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for OP271? Based on 16 providers billing this code nationally.

Median

$6.79

Average

$8.69

Std Dev

$7.51

Max

$26.03

Percentile Distribution (Cost per Claim)

p10

$0.70

p25

$3.93

Median

$6.79

p75

$11.11

p90

$19.61

p95

$22.77

p99

$25.38

50% of providers bill between $3.93 and $11.11 per claim for this code.

90% bill between $0.70 and $19.61.

Top 1% bill above $25.38.

About This Procedure

HCPCS code OP271 was billed by 19 providers across 132K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 110K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.79

Providers Billing

National Spending

$1.5M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for OP271

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1568825545	$811K	$11.97	1.8× median	Above 75th
2	Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital	$256K	$17.54	2.6× median	Above 75th
3	1598144362	$120K	$10.82	1.6× median	Above Median
4	1770901761	$118K	$10.22	1.5× median	Above Median
5	1275583726	$75K	$21.69	3.2× median	Top 10%
6	Capital Health System, Inc. Pennington, NJ · General Acute Care Hospital	$53K	$26.03	3.8× median	Top 1%
7	1629070149	$27K	$4.22	0.6× median	Below Median
8	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$26K	$6.47	1.0× median	Below Median
9	Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital	$16K	$3.05	0.4× median	Below Median
10	1003236878	$15K	$7.12	1.0× median	Above Median
11	The Cooper Health System Camden, NJ · General Acute Care Hospital	$1K	$0.42	0.1× median	Below Median
12	1043475668	$1K	$4.55	0.7× median	Below Median
13	Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital	$767	$7.30	1.1× median	Above Median
14	Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital	$667	$6.18	0.9× median	Below Median
15	1871859306	$110	$0.71	0.1× median	Below Median
16	1821101239	$92	$0.69	0.1× median	Below Median
17	1164611885	$0	$0.00	0.0× median	Below Median
18	1285634394	$0	$0.00	0.0× median	Below Median
19	1437676988	$0	$0.00	0.0× median	Below Median

Showing top 19 of 19 providers billing this code

Related Procedures

OP272$35.1M OP278$16.8M OP279$13.3M OP270$10.8M OP276$2K

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