11100
HCPCS Procedure Code
HCPCS code 11100 is the #2,241 most-billed Medicaid procedure code, with $7.5M in payments across 132K claims from 2018–2024. The national median cost per claim is $44.58. Costs vary widely — the 90th percentile is $92.84 per claim, 2.1× the median.
Total Paid
$7.5M
0.00% of all spending
Total Claims
132K
Providers
727
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for 11100? Based on 687 providers billing this code nationally.
Median
$44.58
Average
$54.77
Std Dev
$58.72
Max
$589.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.21 and $62.36 per claim for this code.
90% bill between $10.60 and $92.84.
Top 1% bill above $332.12.
About This Procedure
HCPCS code 11100 was billed by 727 providers across 132K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 120K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.58
Providers Billing
687
National Spending
$7.5M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11100
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Washington Seattle, WA · Clinic/Center, Dental | $205K |
| 2 | State Of Connecticut Farmington, CT · Counselor, Professional | $200K |
| 3 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $199K |
| 4 | 1407804115 | $163K |
| 5 | 1881023927 | $155K |
| 6 | 1477891901 | $131K |
| 7 | 1003082090 | $126K |
| 8 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $123K |
| 9 | 1720089279 | $103K |
| 10 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $101K |
| 11 | Sage River Counseling Seattle, WA · Counselor Mental Health | $100K |
| 12 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $99K |
| 13 | 1932154788 | $98K |
| 14 | 1295071520 | $90K |
| 15 | 1336343268 | $78K |
| 16 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $77K |
| 17 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $76K |
| 18 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $75K |
| 19 | 1619179009 | $74K |
| 20 | 1740410182 | $73K |
Showing top 20 of 727 providers billing this code