Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6595 of 11K

1128F

HCPCS Procedure Code

HCPCS code 1128F is the #6,595 most-billed Medicaid procedure code, with $53K in payments across 163K claims from 2018–2024. The national median cost per claim is $0.38.

Total Paid

$53K

0.00% of all spending

Total Claims

163K

Providers

25

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1128F? Based on 19 providers billing this code nationally.

Median

$0.38

Average

$0.37

Std Dev

$0.18

Max

$0.71

Percentile Distribution (Cost per Claim)

p10
$0.15
p25
$0.29
Median
$0.38
p75
$0.47
p90
$0.56
p95
$0.64
p99
$0.70

50% of providers bill between $0.29 and $0.47 per claim for this code.

90% bill between $0.15 and $0.56.

Top 1% bill above $0.70.

About This Procedure

HCPCS code 1128F was billed by 25 providers across 163K claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 148K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.38

Providers Billing

19

National Spending

$53K

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 1128F

#ProviderTotal Paid
11538214713$12K
21366597114$5K
31538214275$4K
41538214309$4K
51275688988$4K
61649325242$4K
71033264767$3K
81245386341$3K
91629546106$3K
101447305057$2K
111104971548$2K
121386652824$2K
131306992136$2K
141215940507$1K
151144468836$825
161770049215$750
171790830487$307
181992117527$225
191174532972$0
201457460610$0

Showing top 20 of 25 providers billing this code