Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7573 of 11K

01820

HCPCS Procedure Code

HCPCS code 01820 is the #7,573 most-billed Medicaid procedure code, with $14K in payments across 441 claims from 2018–2024. The national median cost per claim is $37.58.

Total Paid

$14K

0.00% of all spending

Total Claims

441

Providers

7

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for 01820? Based on 4 providers billing this code nationally.

Median

$37.58

Average

$38.92

Std Dev

$9.02

Max

$50.80

Percentile Distribution (Cost per Claim)

p10
$31.27
p25
$33.58
Median
$37.58
p75
$42.92
p90
$47.65
p95
$49.23
p99
$50.49

50% of providers bill between $33.58 and $42.92 per claim for this code.

90% bill between $31.27 and $47.65.

Top 1% bill above $50.49.

About This Procedure

HCPCS code 01820 was billed by 7 providers across 441 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 415 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.58

Providers Billing

4

National Spending

$14K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01820

#ProviderTotal Paid
11538216569$11K
21497797153$2K
31487609475$662
41669581997$446
5Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$0
6Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$0
7Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$0

Showing top 7 of 7 providers billing this code

Related Procedures