1031F
HCPCS Procedure Code
HCPCS code 1031F is the #6,594 most-billed Medicaid procedure code, with $53K in payments across 1.0M claims from 2018–2024. The national median cost per claim is $0.04. Costs vary widely — the 90th percentile is $5.91 per claim, 147.8× the median.
Total Paid
$53K
0.00% of all spending
Total Claims
1.0M
Providers
365
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 1031F? Based on 32 providers billing this code nationally.
Median
$0.04
Average
$3.94
Std Dev
$14.54
Max
$80.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.32 per claim for this code.
90% bill between $0.00 and $5.91.
Top 1% bill above $61.67.
About This Procedure
HCPCS code 1031F was billed by 365 providers across 1.0M claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 926K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.04
Providers Billing
32
National Spending
$53K
Avg/Median Ratio
98.50×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1031F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437508314 | $16K |
| 2 | 1346266848 | $11K |
| 3 | 1912377813 | $9K |
| 4 | 1043387327 | $7K |
| 5 | 1770697278 | $4K |
| 6 | 1770950396 | $3K |
| 7 | 1750657722 | $2K |
| 8 | 1568706158 | $710 |
| 9 | 1689778623 | $524 |
| 10 | 1962688127 | $310 |
| 11 | 1093838609 | $175 |
| 12 | 1518001437 | $139 |
| 13 | 1386273100 | $131 |
| 14 | 1386010312 | $101 |
| 15 | La Maestra Family Clinic, Inc. San Diego, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $68 |
| 16 | 1861440810 | $65 |
| 17 | 1366591695 | $32 |
| 18 | 1124362348 | $30 |
| 19 | 1790781128 | $25 |
| 20 | 1477845956 | $25 |
Showing top 20 of 365 providers billing this code