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#5186 of 11K

11107

HCPCS Procedure Code

HCPCS code 11107 is the #5,186 most-billed Medicaid procedure code, with $267K in payments across 4,575 claims from 2018–2024. The national median cost per claim is $42.83.

Total Paid

$267K

0.00% of all spending

Total Claims

4,575

Providers

8

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 11107? Based on 8 providers billing this code nationally.

Median

$42.83

Average

$40.63

Std Dev

$19.18

Max

$68.39

Percentile Distribution (Cost per Claim)

p10
$21.17
p25
$25.76
Median
$42.83
p75
$51.35
p90
$62.92
p95
$65.65
p99
$67.84

50% of providers bill between $25.76 and $51.35 per claim for this code.

90% bill between $21.17 and $62.92.

Top 1% bill above $67.84.

About This Procedure

HCPCS code 11107 was billed by 8 providers across 4,575 claims, totaling $267K in Medicaid payments from 2018–2024. This code was used for 4,154 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.83

Providers Billing

8

National Spending

$267K

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11107

#ProviderTotal Paid
11235671389$205K
21912096280$27K
31780159749$18K
41932432929$11K
51821074360$2K
61760431654$2K
71396741351$509
81306959721$354

Showing top 8 of 8 providers billing this code