#2216 of 11K

17311

HCPCS Procedure Code

HCPCS code 17311 is the #2,216 most-billed Medicaid procedure code, with $7.8M in payments across 32K claims from 2018–2024. The national median cost per claim is $194.01. Costs vary widely — the 90th percentile is $416.81 per claim, 2.1× the median.

Total Paid

$7.8M

0.00% of all spending

Total Claims

32K

Providers

172

Avg Cost/Claim

$240

National Cost Distribution

How much do providers bill per claim for 17311? Based on 170 providers billing this code nationally.

Median

$194.01

Average

$224.75

Std Dev

$146.07

Max

$915.24

Percentile Distribution (Cost per Claim)

p10

$66.49

p25

$118.40

Median

$194.01

p75

$299.50

p90

$416.81

p95

$472.05

p99

$669.85

50% of providers bill between $118.40 and $299.50 per claim for this code.

90% bill between $66.49 and $416.81.

Top 1% bill above $669.85.

About This Procedure

HCPCS code 17311 was billed by 172 providers across 32K claims, totaling $7.8M in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$194.01

Providers Billing

170

National Spending

$7.8M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 17311

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1073662946	$631K	$254.07	1.3× median	Above Median
2	1740410182	$493K	$381.26	2.0× median	Above 75th
3	1003082090	$482K	$343.77	1.8× median	Above 75th
4	1184027104	$474K	$413.77	2.1× median	Above 75th
5	1306982855	$350K	$267.72	1.4× median	Above Median
6	1710913231	$303K	$514.25	2.7× median	Top 10%
7	1235671389	$290K	$421.01	2.2× median	Top 10%
8	1720083769	$260K	$148.85	0.8× median	Below Median
9	1932154788	$248K	$304.43	1.6× median	Above 75th
10	1366544124	$233K	$358.07	1.8× median	Above 75th
11	1760419014	$206K	$118.38	0.6× median	Below Median
12	1902839673	$176K	$373.46	1.9× median	Above 75th
13	1033159405	$174K	$417.25	2.2× median	Top 10%
14	1003263807	$127K	$404.49	2.1× median	Above 75th
15	1114948288	$118K	$234.27	1.2× median	Above Median
16	1881023927	$116K	$416.76	2.1× median	Above 75th
17	1053493288	$104K	$161.42	0.8× median	Below Median
18	1255851200	$103K	$237.60	1.2× median	Above Median
19	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$103K	$321.48	1.7× median	Above 75th
20	1962968966	$97K	$243.94	1.3× median	Above Median

Showing top 20 of 172 providers billing this code

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