11765
HCPCS Procedure Code
HCPCS code 11765 is the #2,794 most-billed Medicaid procedure code, with $3.6M in payments across 77K claims from 2018–2024. The national median cost per claim is $28.19. Costs vary widely — the 90th percentile is $78.82 per claim, 2.8× the median.
Total Paid
$3.6M
0.00% of all spending
Total Claims
77K
Providers
123
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for 11765? Based on 113 providers billing this code nationally.
Median
$28.19
Average
$36.13
Std Dev
$34.19
Max
$173.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.32 and $54.94 per claim for this code.
90% bill between $2.96 and $78.82.
Top 1% bill above $154.74.
About This Procedure
HCPCS code 11765 was billed by 123 providers across 77K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.19
Providers Billing
113
National Spending
$3.6M
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 11765
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396032355 | $1.6M |
| 2 | 1629098660 | $242K |
| 3 | 1093158347 | $179K |
| 4 | 1073606935 | $161K |
| 5 | 1265464820 | $157K |
| 6 | 1548624372 | $137K |
| 7 | 1942516323 | $125K |
| 8 | 1982769477 | $111K |
| 9 | 1194957993 | $82K |
| 10 | 1033178561 | $76K |
| 11 | 1962674903 | $73K |
| 12 | 1922517077 | $44K |
| 13 | 1659443356 | $40K |
| 14 | 1164806758 | $39K |
| 15 | 1619592896 | $34K |
| 16 | 1215256235 | $31K |
| 17 | 1952496200 | $30K |
| 18 | 1265538979 | $26K |
| 19 | 1679689764 | $26K |
| 20 | 1609945542 | $23K |
Showing top 20 of 123 providers billing this code