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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770901761 | $2.9M |
| 2 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $2.3M |
| 3 | 1235134024 | $2.1M |
| 4 | 1568825545 | $2.0M |
| 5 | University Hospital Newark, NJ · General Acute Care Hospital | $1.9M |
| 6 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $1.7M |
| 7 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $1.5M |
| 8 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $1.4M |
| 9 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $1.2M |
| 10 | 1598144362 | $1.2M |
| 11 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $1.2M |
| 12 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $1.2M |
| 13 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $1.1M |
| 14 | 1134125016 | $1.1M |
| 15 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $875K |
| 16 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $728K |
| 17 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $586K |
| 18 | 1104859131 | $552K |
| 19 | 1922095116 | $531K |
| 20 | Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital | $531K |
Showing top 20 of 88 providers billing this code