11103
HCPCS Procedure Code
HCPCS code 11103 is the #2,938 most-billed Medicaid procedure code, with $3.0M in payments across 73K claims from 2018–2024. The national median cost per claim is $37.08.
Total Paid
$3.0M
0.00% of all spending
Total Claims
73K
Providers
231
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for 11103? Based on 220 providers billing this code nationally.
Median
$37.08
Average
$37.94
Std Dev
$22.93
Max
$150.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.75 and $52.18 per claim for this code.
90% bill between $9.90 and $63.46.
Top 1% bill above $122.22.
About This Procedure
HCPCS code 11103 was billed by 231 providers across 73K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.08
Providers Billing
220
National Spending
$3.0M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11103
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407804115 | $299K |
| 2 | 1912978834 | $256K |
| 3 | 1881023927 | $187K |
| 4 | 1235671389 | $151K |
| 5 | 1306982855 | $110K |
| 6 | 1174652325 | $98K |
| 7 | 1508815556 | $90K |
| 8 | 1508035411 | $70K |
| 9 | 1184027104 | $66K |
| 10 | 1649258286 | $64K |
| 11 | 1720089279 | $58K |
| 12 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $56K |
| 13 | 1023015245 | $56K |
| 14 | 1205819349 | $53K |
| 15 | 1003263807 | $52K |
| 16 | 1396745055 | $49K |
| 17 | 1477891901 | $49K |
| 18 | 1487613907 | $37K |
| 19 | 1053493288 | $34K |
| 20 | 1124014741 | $34K |
Showing top 20 of 231 providers billing this code