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#4764 of 11K

11772

HCPCS Procedure Code

HCPCS code 11772 is the #4,764 most-billed Medicaid procedure code, with $416K in payments across 896 claims from 2018–2024. The national median cost per claim is $567.92. Costs vary widely — the 90th percentile is $2,090.26 per claim, 3.7× the median.

Total Paid

$416K

0.00% of all spending

Total Claims

896

Providers

3

Avg Cost/Claim

$464

National Cost Distribution

How much do providers bill per claim for 11772? Based on 3 providers billing this code nationally.

Median

$567.92

Average

$1,141.26

Std Dev

$1,155.08

Max

$2,470.85

Percentile Distribution (Cost per Claim)

p10
$421.60
p25
$476.47
Median
$567.92
p75
$1,519.38
p90
$2,090.26
p95
$2,280.55
p99
$2,432.79

50% of providers bill between $476.47 and $1,519.38 per claim for this code.

90% bill between $421.60 and $2,090.26.

Top 1% bill above $2,432.79.

About This Procedure

HCPCS code 11772 was billed by 3 providers across 896 claims, totaling $416K in Medicaid payments from 2018–2024. This code was used for 821 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$567.92

Providers Billing

3

National Spending

$416K

Avg/Median Ratio

2.01×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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