11000
HCPCS Procedure Code
HCPCS code 11000 is the #4,009 most-billed Medicaid procedure code, with $937K in payments across 96K claims from 2018–2024. The national median cost per claim is $8.34. Costs vary widely — the 90th percentile is $28.71 per claim, 3.4× the median.
Total Paid
$937K
0.00% of all spending
Total Claims
96K
Providers
119
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 11000? Based on 101 providers billing this code nationally.
Median
$8.34
Average
$12.14
Std Dev
$10.91
Max
$42.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.30 and $20.45 per claim for this code.
90% bill between $1.09 and $28.71.
Top 1% bill above $38.14.
About This Procedure
HCPCS code 11000 was billed by 119 providers across 96K claims, totaling $937K in Medicaid payments from 2018–2024. This code was used for 83K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.34
Providers Billing
101
National Spending
$937K
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11000
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770590945 | $246K |
| 2 | 1841605128 | $191K |
| 3 | 1558452730 | $61K |
| 4 | 1386643286 | $41K |
| 5 | 1255473286 | $38K |
| 6 | 1093730392 | $35K |
| 7 | 1265464820 | $27K |
| 8 | 1982605697 | $25K |
| 9 | 1194153890 | $20K |
| 10 | 1578562492 | $17K |
| 11 | 1285934737 | $15K |
| 12 | 1487649059 | $15K |
| 13 | 1467563718 | $14K |
| 14 | 1114069044 | $13K |
| 15 | 1023415288 | $13K |
| 16 | 1851347348 | $11K |
| 17 | 1457562175 | $9K |
| 18 | 1750390142 | $9K |
| 19 | 1205387461 | $8K |
| 20 | 1790036275 | $8K |
Showing top 20 of 119 providers billing this code