#1212 of 11K

11056

Paring or cutting of benign hyperkeratotic lesions, two to four

Paring or cutting of benign hyperkeratotic lesions, two to four is the #1,212 most-billed Medicaid procedure code, with $33.2M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $11.01. Costs vary widely — the 90th percentile is $34.64 per claim, 3.1× the median.

Total Paid

$33.2M

0.00% of all spending

Total Claims

2.4M

Providers

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 11056? Based on 2K providers billing this code nationally.

Median

$11.01

Average

$17.01

Std Dev

$25.21

Max

$360.32

Percentile Distribution (Cost per Claim)

p10

$1.77

p25

$4.74

Median

$11.01

p75

$20.68

p90

$34.64

p95

$47.22

p99

$124.88

50% of providers bill between $4.74 and $20.68 per claim for this code.

90% bill between $1.77 and $34.64.

Top 1% bill above $124.88.

About This Procedure

HCPCS code 11056 (Paring or cutting of benign hyperkeratotic lesions, two to four) was billed by 3K providers across 2.4M claims, totaling $33.2M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.01

Providers Billing

National Spending

$33.2M

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 11056

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1013013002	$1.4M	$40.42	3.7× median	Top 10%
2	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$947K	$148.34	13.5× median	Top 1%
3	1720037138	$859K	$6.55	0.6× median	Below Median
4	1083962294	$800K	$38.86	3.5× median	Top 10%
5	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$608K	$116.28	10.6× median	Top 10%
6	1689041055	$606K	$30.95	2.8× median	Above 75th
7	1689613598	$562K	$8.95	0.8× median	Below Median
8	1063480218	$418K	$50.05	4.5× median	Top 10%
9	1649212572	$375K	$20.81	1.9× median	Above 75th
10	1952749293	$346K	$57.93	5.3× median	Top 10%
11	1467845065	$309K	$13.74	1.2× median	Above Median
12	1629075734	$256K	$40.04	3.6× median	Top 10%
13	1003066747	$236K	$12.61	1.1× median	Above Median
14	1265464820	$224K	$34.53	3.1× median	Above 75th
15	1720058928	$214K	$43.05	3.9× median	Top 10%
16	1023415288	$209K	$38.44	3.5× median	Top 10%
17	1255692703	$202K	$43.03	3.9× median	Top 10%
18	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$200K	$80.64	7.3× median	Top 10%
19	1417127705	$187K	$40.71	3.7× median	Top 10%
20	1043252513	$185K	$16.20	1.5× median	Above Median

Showing top 20 of 3K providers billing this code

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