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#8334 of 11K

0611

HCPCS Procedure Code

HCPCS code 0611 is the #8,334 most-billed Medicaid procedure code, with $4K in payments across 2K claims from 2018–2024. The national median cost per claim is $0.53. Costs vary widely — the 90th percentile is $223.88 per claim, 422.4× the median.

Total Paid

$4K

0.00% of all spending

Total Claims

2K

Providers

12

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 0611? Based on 3 providers billing this code nationally.

Median

$0.53

Average

$93.42

Std Dev

$161.33

Max

$279.71

Percentile Distribution (Cost per Claim)

p10
$0.13
p25
$0.28
Median
$0.53
p75
$140.12
p90
$223.88
p95
$251.79
p99
$274.13

50% of providers bill between $0.28 and $140.12 per claim for this code.

90% bill between $0.13 and $223.88.

Top 1% bill above $274.13.

About This Procedure

HCPCS code 0611 was billed by 12 providers across 2K claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.53

Providers Billing

3

National Spending

$4K

Avg/Median Ratio

176.26×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0611

#ProviderTotal Paid
11477554152$3K
21336328244$304
3County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$22
41558575746$0
5Kaiser Foundation Hospitals

Anaheim, CA · General Acute Care Hospital

$0
61114081056$0
71518951300$0
81275576381$0
9University Of California Irvine

Orange, CA · General Acute Care Hospital

$0
101932197258$0
11Desert Valley Hospital Llc

Victorville, CA · General Acute Care Hospital

$0
121811080526$0

Showing top 12 of 12 providers billing this code