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#2868 of 11K

11755

HCPCS Procedure Code

HCPCS code 11755 is the #2,868 most-billed Medicaid procedure code, with $3.3M in payments across 78K claims from 2018–2024. The national median cost per claim is $42.60. Costs vary widely — the 90th percentile is $91.69 per claim, 2.2× the median.

Total Paid

$3.3M

0.00% of all spending

Total Claims

78K

Providers

196

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 11755? Based on 189 providers billing this code nationally.

Median

$42.60

Average

$50.27

Std Dev

$56.99

Max

$574.68

Percentile Distribution (Cost per Claim)

p10
$5.92
p25
$17.15
Median
$42.60
p75
$67.19
p90
$91.69
p95
$102.03
p99
$271.01

50% of providers bill between $17.15 and $67.19 per claim for this code.

90% bill between $5.92 and $91.69.

Top 1% bill above $271.01.

About This Procedure

HCPCS code 11755 was billed by 196 providers across 78K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.60

Providers Billing

189

National Spending

$3.3M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11755

#ProviderTotal Paid
1Podiatry Center Of New Jersey, Llc

Wayne, NJ · Clinic/Center, Podiatric

$822K
21013013002$386K
31578744892$270K
41821387051$167K
51306999792$109K
61750453940$101K
71437139409$79K
81699206409$79K
91720634538$72K
101558356741$59K
111639200215$55K
12Parcare Community Health Network Inc

Brooklyn, NY · Specialist

$51K
131528653995$49K
141588626964$36K
151366418709$33K
161609206010$31K
171821241746$30K
181861669970$29K
191649306648$29K
201740953934$28K

Showing top 20 of 196 providers billing this code