11101
HCPCS Procedure Code
HCPCS code 11101 is the #4,917 most-billed Medicaid procedure code, with $354K in payments across 14K claims from 2018–2024. The national median cost per claim is $23.72.
Total Paid
$354K
0.00% of all spending
Total Claims
14K
Providers
124
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 11101? Based on 107 providers billing this code nationally.
Median
$23.72
Average
$24.06
Std Dev
$13.93
Max
$78.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.47 and $31.75 per claim for this code.
90% bill between $4.68 and $40.21.
Top 1% bill above $60.02.
About This Procedure
HCPCS code 11101 was billed by 124 providers across 14K claims, totaling $354K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.72
Providers Billing
107
National Spending
$354K
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11101
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407804115 | $61K |
| 2 | 1447244256 | $52K |
| 3 | 1720089279 | $48K |
| 4 | 1174652325 | $13K |
| 5 | 1477891901 | $8K |
| 6 | 1083649628 | $7K |
| 7 | 1912978834 | $7K |
| 8 | 1023015245 | $6K |
| 9 | 1306982855 | $6K |
| 10 | 1326100553 | $6K |
| 11 | 1619179009 | $6K |
| 12 | 1649258286 | $5K |
| 13 | 1821074360 | $5K |
| 14 | 1750359543 | $5K |
| 15 | 1164408282 | $5K |
| 16 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $5K |
| 17 | 1700184884 | $5K |
| 18 | 1053493288 | $4K |
| 19 | 1609078997 | $4K |
| 20 | 1508035411 | $4K |
Showing top 20 of 124 providers billing this code