11730
HCPCS Procedure Code
HCPCS code 11730 is the #2,247 most-billed Medicaid procedure code, with $7.5M in payments across 267K claims from 2018–2024. The national median cost per claim is $24.59. Costs vary widely — the 90th percentile is $74.79 per claim, 3.0× the median.
Total Paid
$7.5M
0.00% of all spending
Total Claims
267K
Providers
708
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for 11730? Based on 643 providers billing this code nationally.
Median
$24.59
Average
$32.80
Std Dev
$30.12
Max
$223.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.07 and $48.59 per claim for this code.
90% bill between $3.40 and $74.79.
Top 1% bill above $126.18.
About This Procedure
HCPCS code 11730 was billed by 708 providers across 267K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 237K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.59
Providers Billing
643
National Spending
$7.5M
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11730
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1922166701 | $367K |
| 2 | 1063480218 | $299K |
| 3 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $240K |
| 4 | 1194941161 | $182K |
| 5 | 1568473726 | $176K |
| 6 | 1407002702 | $171K |
| 7 | 1043253230 | $157K |
| 8 | 1891806154 | $157K |
| 9 | 1437433943 | $154K |
| 10 | 1427098227 | $134K |
| 11 | 1659630580 | $133K |
| 12 | 1609029214 | $116K |
| 13 | 1750492773 | $116K |
| 14 | 1841605128 | $113K |
| 15 | 1629082060 | $102K |
| 16 | Parcare Community Health Network Inc Brooklyn, NY · Specialist | $98K |
| 17 | 1184186496 | $95K |
| 18 | 1477500155 | $84K |
| 19 | 1740227909 | $82K |
| 20 | 1093730392 | $82K |
Showing top 20 of 708 providers billing this code