#4629 of 11K

11302

HCPCS Procedure Code

HCPCS code 11302 is the #4,629 most-billed Medicaid procedure code, with $479K in payments across 11K claims from 2018–2024. The national median cost per claim is $37.86. Costs vary widely — the 90th percentile is $111.36 per claim, 2.9× the median.

Total Paid

$479K

0.00% of all spending

Total Claims

11K

Providers

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for 11302? Based on 21 providers billing this code nationally.

Median

$37.86

Average

$53.92

Std Dev

$43.34

Max

$130.86

Percentile Distribution (Cost per Claim)

p10

$4.09

p25

$20.32

Median

$37.86

p75

$96.23

p90

$111.36

p95

$126.72

p99

$130.03

50% of providers bill between $20.32 and $96.23 per claim for this code.

90% bill between $4.09 and $111.36.

Top 1% bill above $130.03.

About This Procedure

HCPCS code 11302 was billed by 22 providers across 11K claims, totaling $479K in Medicaid payments from 2018–2024. This code was used for 7,834 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.86

Providers Billing

National Spending

$479K

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11302

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1720110968	$151K	$111.36	2.9× median	Above 75th
2	1407804115	$129K	$105.83	2.8× median	Above 75th
3	1154407856	$66K	$37.86	1.0× median	Below Median
4	1295831360	$42K	$33.83	0.9× median	Below Median
5	1013995182	$24K	$6.62	0.2× median	Below Median
6	1235279233	$14K	$130.86	3.5× median	Top 1%
7	1720089279	$12K	$67.84	1.8× median	Above Median
8	1962428474	$11K	$98.07	2.6× median	Above 75th
9	1922281005	$8K	$62.71	1.7× median	Above Median
10	1568649713	$7K	$126.72	3.3× median	Top 10%
11	1306982855	$4K	$20.32	0.5× median	Below Median
12	1619209574	$2K	$64.28	1.7× median	Above Median
13	1982849691	$2K	$64.30	1.7× median	Above Median
14	1134201460	$2K	$96.23	2.5× median	Above Median
15	1942340542	$818	$4.09	0.1× median	Below Median
16	1972662716	$686	$1.53	0.0× median	Below Median
17	1740666312	$603	$37.69	1.0× median	Below Median
18	1578790234	$508	$33.88	0.9× median	Below Median
19	1609981885	$452	$22.59	0.6× median	Below Median
20	1861506479	$92	$4.85	0.1× median	Below Median

Showing top 20 of 22 providers billing this code

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