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#5989 of 11K

11420

HCPCS Procedure Code

HCPCS code 11420 is the #5,989 most-billed Medicaid procedure code, with $109K in payments across 4,525 claims from 2018–2024. The national median cost per claim is $18.87. Costs vary widely — the 90th percentile is $49.73 per claim, 2.6× the median.

Total Paid

$109K

0.00% of all spending

Total Claims

4,525

Providers

23

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 11420? Based on 19 providers billing this code nationally.

Median

$18.87

Average

$23.22

Std Dev

$22.54

Max

$91.94

Percentile Distribution (Cost per Claim)

p10
$3.52
p25
$9.83
Median
$18.87
p75
$27.28
p90
$49.73
p95
$60.79
p99
$85.71

50% of providers bill between $9.83 and $27.28 per claim for this code.

90% bill between $3.52 and $49.73.

Top 1% bill above $85.71.

About This Procedure

HCPCS code 11420 was billed by 23 providers across 4,525 claims, totaling $109K in Medicaid payments from 2018–2024. This code was used for 3,373 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.87

Providers Billing

19

National Spending

$109K

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11420

#ProviderTotal Paid
11891806154$29K
21609836063$24K
31982769477$21K
41982733622$13K
51619394608$6K
61750390142$4K
71821181223$3K
81669459830$2K
91306924725$2K
101275567406$1K
111184913287$1K
121962809400$741
131841491354$560
14New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$493
151225177751$264
161558348730$174
171609981885$165
181447514278$102
191750518130$80
201033194345$0

Showing top 20 of 23 providers billing this code