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#2794 of 11K

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)

p10
$2.96
p25
$9.32
Median
$28.19
p75
$54.94
p90
$78.82
p95
$94.98
p99
$154.74

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

#ProviderTotal Paid
11396032355$1.6M
21629098660$242K
31093158347$179K
41073606935$161K
51265464820$157K
61548624372$137K
71942516323$125K
81982769477$111K
91194957993$82K
101033178561$76K
111962674903$73K
121922517077$44K
131659443356$40K
141164806758$39K
151619592896$34K
161215256235$31K
171952496200$30K
181265538979$26K
191679689764$26K
201609945542$23K

Showing top 20 of 123 providers billing this code