#3712 of 11K

11306

HCPCS Procedure Code

HCPCS code 11306 is the #3,712 most-billed Medicaid procedure code, with $1.3M in payments across 39K claims from 2018–2024. The national median cost per claim is $35.79. Costs vary widely — the 90th percentile is $76.59 per claim, 2.1× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

39K

Providers

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 11306? Based on 69 providers billing this code nationally.

Median

$35.79

Average

$41.60

Std Dev

$31.90

Max

$141.96

Percentile Distribution (Cost per Claim)

p10

$8.97

p25

$21.84

Median

$35.79

p75

$52.00

p90

$76.59

p95

$121.23

p99

$139.03

50% of providers bill between $21.84 and $52.00 per claim for this code.

90% bill between $8.97 and $76.59.

Top 1% bill above $139.03.

About This Procedure

HCPCS code 11306 was billed by 69 providers across 39K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.79

Providers Billing

National Spending

$1.3M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11306

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1710999792	$184K	$37.86	1.1× median	Above Median
2	1356823173	$179K	$50.51	1.4× median	Above Median
3	1619194446	$127K	$35.45	1.0× median	Below Median
4	1245455146	$73K	$35.78	1.0× median	Below Median
5	1063554475	$53K	$58.73	1.6× median	Above 75th
6	1801013149	$53K	$26.59	0.7× median	Below Median
7	1740391499	$40K	$14.35	0.4× median	Below Median
8	1194909556	$39K	$48.72	1.4× median	Above Median
9	1902082423	$37K	$37.36	1.0× median	Above Median
10	1609945542	$36K	$21.81	0.6× median	Below Median
11	Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies	$35K	$141.96	4.0× median	Top 1%
12	1659443356	$35K	$52.74	1.5× median	Above 75th
13	1043253230	$34K	$39.66	1.1× median	Above Median
14	1417183963	$32K	$120.73	3.4× median	Top 10%
15	1871538207	$27K	$39.63	1.1× median	Above Median
16	1093251142	$25K	$21.84	0.6× median	Below Median
17	1386753887	$21K	$33.17	0.9× median	Below Median
18	1497057954	$20K	$13.35	0.4× median	Below Median
19	1477555415	$18K	$67.12	1.9× median	Above 75th
20	1083945281	$15K	$60.06	1.7× median	Above 75th

Showing top 20 of 69 providers billing this code

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