#3891 of 11K

11200

HCPCS Procedure Code

HCPCS code 11200 is the #3,891 most-billed Medicaid procedure code, with $1.0M in payments across 24K claims from 2018–2024. The national median cost per claim is $36.51.

Total Paid

$1.0M

0.00% of all spending

Total Claims

24K

Providers

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for 11200? Based on 76 providers billing this code nationally.

Median

$36.51

Average

$40.88

Std Dev

$39.48

Max

$201.58

Percentile Distribution (Cost per Claim)

p10

$5.01

p25

$18.41

Median

$36.51

p75

$54.07

p90

$69.97

p95

$123.53

p99

$194.63

50% of providers bill between $18.41 and $54.07 per claim for this code.

90% bill between $5.01 and $69.97.

Top 1% bill above $194.63.

About This Procedure

HCPCS code 11200 was billed by 85 providers across 24K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.51

Providers Billing

National Spending

$1.0M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11200

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1881023927	$211K	$55.58	1.5× median	Above 75th
2	1790973162	$130K	$59.90	1.6× median	Above 75th
3	1700512365	$118K	$54.46	1.5× median	Above 75th
4	1780159749	$84K	$48.13	1.3× median	Above Median
5	1932154788	$58K	$58.05	1.6× median	Above 75th
6	1740410182	$56K	$40.56	1.1× median	Above Median
7	1306959721	$42K	$21.26	0.6× median	Below Median
8	1912186917	$41K	$58.19	1.6× median	Above 75th
9	1861930984	$32K	$25.02	0.7× median	Below Median
10	Parcare Community Health Network Inc Brooklyn, NY · Specialist	$28K	$173.46	4.8× median	Top 10%
11	1003082090	$25K	$58.62	1.6× median	Above 75th
12	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$19K	$192.31	5.3× median	Top 10%
13	1053493288	$18K	$39.25	1.1× median	Above Median
14	1285746552	$16K	$38.74	1.1× median	Above Median
15	1659312593	$14K	$121.56	3.3× median	Top 10%
16	1417090317	$12K	$23.96	0.7× median	Below Median
17	1922312248	$11K	$43.99	1.2× median	Above Median
18	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$10K	$46.07	1.3× median	Above Median
19	1609078997	$9K	$43.49	1.2× median	Above Median
20	1235671389	$8K	$25.91	0.7× median	Below Median

Showing top 20 of 85 providers billing this code

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