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

#1611 of 11K

0651

HCPCS Procedure Code

HCPCS code 0651 is the #1,611 most-billed Medicaid procedure code, with $17.8M in payments across 74K claims from 2018–2024. The national median cost per claim is $210.85. Costs vary widely — the 90th percentile is $3,724.03 per claim, 17.7× the median.

Total Paid

$17.8M

0.00% of all spending

Total Claims

74K

Providers

48

Avg Cost/Claim

$241

National Cost Distribution

How much do providers bill per claim for 0651? Based on 43 providers billing this code nationally.

Median

$210.85

Average

$1,274.35

Std Dev

$1,671.98

Max

$5,772.21

Percentile Distribution (Cost per Claim)

p10
$55.69
p25
$164.41
Median
$210.85
p75
$2,591.14
p90
$3,724.03
p95
$3,831.54
p99
$5,621.40

50% of providers bill between $164.41 and $2,591.14 per claim for this code.

90% bill between $55.69 and $3,724.03.

Top 1% bill above $5,621.40.

About This Procedure

HCPCS code 0651 was billed by 48 providers across 74K claims, totaling $17.8M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$210.85

Providers Billing

43

National Spending

$17.8M

Avg/Median Ratio

6.04×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0651

#ProviderTotal Paid
11669764726$2.5M
21992935563$1.4M
31386786150$1.3M
41871589911$969K
51194869750$879K
61720122831$874K
71497933501$858K
81043326531$641K
91538168950$586K
10Vitas Healthcare Corporation Of California

Sacramento, CA · Hospice Care Community Based

$582K
111801939939$580K
121891718649$574K
131720353535$563K
141790828804$549K
151245383165$504K
161639213747$445K
171740281633$361K
181659415222$341K
191275677387$341K
201528087483$280K

Showing top 20 of 48 providers billing this code