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#1180 of 11K

OP272

HCPCS Procedure Code

HCPCS code OP272 is the #1,180 most-billed Medicaid procedure code, with $35.1M in payments across 889K claims from 2018–2024. The national median cost per claim is $28.37. Costs vary widely — the 90th percentile is $86.27 per claim, 3.0× the median.

Total Paid

$35.1M

0.00% of all spending

Total Claims

889K

Providers

88

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for OP272? Based on 85 providers billing this code nationally.

Median

$28.37

Average

$37.81

Std Dev

$40.34

Max

$262.74

Percentile Distribution (Cost per Claim)

p10
$7.03
p25
$13.20
Median
$28.37
p75
$46.01
p90
$86.27
p95
$101.80
p99
$188.49

50% of providers bill between $13.20 and $46.01 per claim for this code.

90% bill between $7.03 and $86.27.

Top 1% bill above $188.49.

About This Procedure

HCPCS code OP272 was billed by 88 providers across 889K claims, totaling $35.1M in Medicaid payments from 2018–2024. This code was used for 746K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.37

Providers Billing

85

National Spending

$35.1M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for OP272

#ProviderTotal Paid
11770901761$2.9M
2St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$2.3M
31235134024$2.1M
41568825545$2.0M
5University Hospital

Newark, NJ · General Acute Care Hospital

$1.9M
6The Cooper Health System

Camden, NJ · General Acute Care Hospital

$1.7M
7Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$1.5M
8Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$1.4M
9Virtua - West Jersey Health System Inc.

Voorhees, NJ · General Acute Care Hospital

$1.2M
101598144362$1.2M
11Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$1.2M
12Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$1.2M
13Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$1.1M
141134125016$1.1M
15Ahs Hospital Corp.

Summit, NJ · General Acute Care Hospital

$875K
16Saint Peter's University Hospital

New Brunswick, NJ · General Acute Care Hospital

$728K
17Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$586K
181104859131$552K
191922095116$531K
20Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$531K

Showing top 20 of 88 providers billing this code