11042
Debridement, subcutaneous tissue, first 20 sq cm
Debridement, subcutaneous tissue, first 20 sq cm is the #328 most-billed Medicaid procedure code, with $416.3M in payments across 5.9M claims from 2018–2024. The national median cost per claim is $36.13. Costs vary widely — the 90th percentile is $159.57 per claim, 4.4× the median.
Total Paid
$416.3M
0.04% of all spending
Total Claims
5.9M
Providers
4K
Avg Cost/Claim
$71
National Cost Distribution
How much do providers bill per claim for 11042? Based on 4K providers billing this code nationally.
Median
$36.13
Average
$71.48
Std Dev
$103.03
Max
$1,128.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.66 and $85.14 per claim for this code.
90% bill between $10.16 and $159.57.
Top 1% bill above $551.64.
About This Procedure
HCPCS code 11042 (Debridement, subcutaneous tissue, first 20 sq cm) was billed by 4K providers across 5.9M claims, totaling $416.3M in Medicaid payments from 2018–2024. This code was used for 2.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.13
Providers Billing
4K
National Spending
$416.3M
Avg/Median Ratio
1.98×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 11042
| # | Provider | Total Paid |
|---|---|---|
| 1 | Community Health Network, Inc Indianapolis, IN · General Acute Care Hospital | $7.5M |
| 2 | 1619975331 | $6.6M |
| 3 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $5.3M |
| 4 | 1225195340 | $5.0M |
| 5 | 1063457380 | $4.7M |
| 6 | 1467504555 | $4.0M |
| 7 | 1326046467 | $3.8M |
| 8 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $3.7M |
| 9 | 1326043548 | $3.2M |
| 10 | 1215151154 | $2.8M |
| 11 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $2.7M |
| 12 | 1104998624 | $2.6M |
| 13 | Samaritan Hospital Of Troy, New York Troy, NY | $2.6M |
| 14 | 1053361642 | $2.6M |
| 15 | 1568413573 | $2.5M |
| 16 | 1083883938 | $2.5M |
| 17 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $2.5M |
| 18 | 1952309098 | $2.4M |
| 19 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $2.4M |
| 20 | Saint Mary's Hospital, Inc. Waterbury, CT · General Acute Care Hospital | $2.3M |
Showing top 20 of 4K providers billing this code