11307
HCPCS Procedure Code
HCPCS code 11307 is the #4,440 most-billed Medicaid procedure code, with $589K in payments across 16K claims from 2018–2024. The national median cost per claim is $29.72. Costs vary widely — the 90th percentile is $66.04 per claim, 2.2× the median.
Total Paid
$589K
0.00% of all spending
Total Claims
16K
Providers
44
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 11307? Based on 42 providers billing this code nationally.
Median
$29.72
Average
$34.16
Std Dev
$26.35
Max
$125.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.00 and $44.89 per claim for this code.
90% bill between $5.25 and $66.04.
Top 1% bill above $112.97.
About This Procedure
HCPCS code 11307 was billed by 44 providers across 16K claims, totaling $589K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.72
Providers Billing
42
National Spending
$589K
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11307
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194909556 | $133K |
| 2 | 1871538207 | $84K |
| 3 | 1043253230 | $52K |
| 4 | 1902082423 | $46K |
| 5 | 1154407856 | $37K |
| 6 | 1801013149 | $29K |
| 7 | 1720110968 | $26K |
| 8 | 1578975421 | $22K |
| 9 | 1760564181 | $21K |
| 10 | 1023143757 | $17K |
| 11 | 1295831360 | $16K |
| 12 | 1093251142 | $15K |
| 13 | 1407804115 | $10K |
| 14 | 1689683666 | $9K |
| 15 | 1194888255 | $8K |
| 16 | 1588217640 | $7K |
| 17 | 1609945542 | $7K |
| 18 | 1619194446 | $6K |
| 19 | 1023350519 | $6K |
| 20 | 1487959037 | $5K |
Showing top 20 of 44 providers billing this code