5140Y
HCPCS Procedure Code
HCPCS code 5140Y is the #1,114 most-billed Medicaid procedure code, with $39.8M in payments across 341K claims from 2018–2024. The national median cost per claim is $401.97.
Total Paid
$39.8M
0.00% of all spending
Total Claims
341K
Providers
14
Avg Cost/Claim
$117
National Cost Distribution
How much do providers bill per claim for 5140Y? Based on 14 providers billing this code nationally.
Median
$401.97
Average
$329.89
Std Dev
$164.44
Max
$497.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $168.02 and $445.12 per claim for this code.
90% bill between $78.70 and $461.86.
Top 1% bill above $492.95.
About This Procedure
HCPCS code 5140Y was billed by 14 providers across 341K claims, totaling $39.8M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$401.97
Providers Billing
14
National Spending
$39.8M
Avg/Median Ratio
0.82×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 5140Y
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265867394 | $22.7M |
| 2 | 1225681224 | $6.9M |
| 3 | 1649710849 | $4.5M |
| 4 | 1619189941 | $2.0M |
| 5 | 1497360671 | $1.4M |
| 6 | 1104204965 | $839K |
| 7 | 1487021184 | $479K |
| 8 | 1073727988 | $239K |
| 9 | 1215354873 | $213K |
| 10 | 1447770748 | $175K |
| 11 | 1528734985 | $158K |
| 12 | 1386242808 | $118K |
| 13 | 1346639739 | $56K |
| 14 | 1538849112 | $45K |
Showing top 14 of 14 providers billing this code