11720
HCPCS Procedure Code
HCPCS code 11720 is the #1,559 most-billed Medicaid procedure code, with $19.2M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $4.64. Costs vary widely — the 90th percentile is $14.65 per claim, 3.2× the median.
Total Paid
$19.2M
0.00% of all spending
Total Claims
3.3M
Providers
2K
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 11720? Based on 2K providers billing this code nationally.
Median
$4.64
Average
$7.31
Std Dev
$12.58
Max
$302.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.26 and $8.39 per claim for this code.
90% bill between $0.81 and $14.65.
Top 1% bill above $57.48.
About This Procedure
HCPCS code 11720 was billed by 2K providers across 3.3M claims, totaling $19.2M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.64
Providers Billing
2K
National Spending
$19.2M
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 11720
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902872591 | $2.5M |
| 2 | 1720037138 | $1.1M |
| 3 | 1003066747 | $676K |
| 4 | 1689613598 | $645K |
| 5 | 1417251935 | $278K |
| 6 | 1487654042 | $248K |
| 7 | 1548685258 | $248K |
| 8 | 1356390918 | $235K |
| 9 | 1013953876 | $228K |
| 10 | 1740227909 | $225K |
| 11 | 1679504427 | $214K |
| 12 | 1134151194 | $151K |
| 13 | 1619958071 | $150K |
| 14 | 1346337011 | $150K |
| 15 | 1043339260 | $147K |
| 16 | 1508272188 | $147K |
| 17 | 1821248568 | $137K |
| 18 | 1326138355 | $132K |
| 19 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $130K |
| 20 | 1063480218 | $121K |
Showing top 20 of 2K providers billing this code