#4244 of 11K

11983

HCPCS Procedure Code

HCPCS code 11983 is the #4,244 most-billed Medicaid procedure code, with $717K in payments across 4K claims from 2018–2024. The national median cost per claim is $118.08. Costs vary widely — the 90th percentile is $371.05 per claim, 3.1× the median.

Total Paid

$717K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$201

National Cost Distribution

How much do providers bill per claim for 11983? Based on 16 providers billing this code nationally.

Median

$118.08

Average

$161.17

Std Dev

$127.23

Max

$453.80

Percentile Distribution (Cost per Claim)

p10

$49.41

p25

$92.77

Median

$118.08

p75

$170.31

p90

$371.05

p95

$402.49

p99

$443.54

50% of providers bill between $92.77 and $170.31 per claim for this code.

90% bill between $49.41 and $371.05.

Top 1% bill above $443.54.

About This Procedure

HCPCS code 11983 was billed by 17 providers across 4K claims, totaling $717K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.08

Providers Billing

National Spending

$717K

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11983

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1417959701	$392K	$356.71	3.0× median	Above 75th
2	1649355561	$77K	$94.01	0.8× median	Below Median
3	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$71K	$385.39	3.3× median	Top 10%
4	Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health	$62K	$115.46	1.0× median	Below Median
5	1366525370	$36K	$89.07	0.8× median	Below Median
6	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$31K	$453.80	3.8× median	Top 1%
7	1629057146	$23K	$120.70	1.0× median	Above Median
8	1821095779	$9K	$175.30	1.5× median	Above 75th
9	1588738389	$4K	$168.64	1.4× median	Above Median
10	1639123284	$3K	$106.18	0.9× median	Below Median
11	1548291891	$3K	$158.00	1.3× median	Above Median
12	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$3K	$104.58	0.9× median	Below Median
13	1699892869	$2K	$135.79	1.1× median	Above Median
14	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$1K	$82.03	0.7× median	Below Median
15	1003985755	$861	$16.25	0.1× median	Below Median
16	1427176569	$202	$16.80	0.1× median	Below Median
17	Erie Family Health Center, Inc Chicago, IL · Clinic/Center, Federally Qualified Health Center (FQHC)	$0	$0.00	0.0× median	Below Median

Showing top 17 of 17 providers billing this code

Related Procedures

11981$32.0M 11976$7.9M 11982$7.9M 11980$53K

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