#2076 of 11K

11750

HCPCS Procedure Code

HCPCS code 11750 is the #2,076 most-billed Medicaid procedure code, with $9.4M in payments across 109K claims from 2018–2024. The national median cost per claim is $82.40.

Total Paid

$9.4M

0.00% of all spending

Total Claims

109K

Providers

513

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for 11750? Based on 489 providers billing this code nationally.

Median

$82.40

Average

$93.30

Std Dev

$69.13

Max

$584.81

Percentile Distribution (Cost per Claim)

p10

$32.67

p25

$62.86

Median

$82.40

p75

$110.78

p90

$135.81

p95

$169.66

p99

$420.01

50% of providers bill between $62.86 and $110.78 per claim for this code.

90% bill between $32.67 and $135.81.

Top 1% bill above $420.01.

About This Procedure

HCPCS code 11750 was billed by 513 providers across 109K claims, totaling $9.4M in Medicaid payments from 2018–2024. This code was used for 84K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.40

Providers Billing

489

National Spending

$9.4M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11750

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1013013002	$625K	$90.54	1.1× median	Above Median
2	1063522993	$290K	$110.78	1.3× median	Above Median
3	1619241437	$279K	$100.85	1.2× median	Above Median
4	1295944171	$256K	$100.92	1.2× median	Above Median
5	1255692703	$222K	$112.71	1.4× median	Above 75th
6	1114424520	$219K	$160.09	1.9× median	Top 10%
7	1508158536	$214K	$111.52	1.4× median	Above 75th
8	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$214K	$439.45	5.3× median	Top 1%
9	1790098218	$203K	$139.90	1.7× median	Top 10%
10	1154352037	$201K	$66.03	0.8× median	Below Median
11	1841436078	$195K	$107.54	1.3× median	Above Median
12	1679011209	$186K	$135.54	1.6× median	Above 75th
13	1053357244	$166K	$345.58	4.2× median	Top 10%
14	1063790038	$155K	$105.82	1.3× median	Above Median
15	1740227909	$136K	$77.36	0.9× median	Below Median
16	1538194394	$131K	$113.45	1.4× median	Above 75th
17	1649212572	$131K	$79.77	1.0× median	Below Median
18	1982733622	$129K	$52.01	0.6× median	Below Median
19	1386715514	$125K	$73.22	0.9× median	Below Median
20	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$118K	$75.22	0.9× median	Below Median

Showing top 20 of 513 providers billing this code

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