57511
HCPCS Procedure Code
HCPCS code 57511 is the #5,331 most-billed Medicaid procedure code, with $227K in payments across 2,187 claims from 2018–2024. The national median cost per claim is $95.03.
Total Paid
$227K
0.00% of all spending
Total Claims
2,187
Providers
12
Avg Cost/Claim
$104
National Cost Distribution
How much do providers bill per claim for 57511? Based on 11 providers billing this code nationally.
Median
$95.03
Average
$89.76
Std Dev
$51.87
Max
$196.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.78 and $112.85 per claim for this code.
90% bill between $30.36 and $132.28.
Top 1% bill above $190.45.
About This Procedure
HCPCS code 57511 was billed by 12 providers across 2,187 claims, totaling $227K in Medicaid payments from 2018–2024. This code was used for 2,037 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$95.03
Providers Billing
11
National Spending
$227K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 57511
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720063050 | $135K |
| 2 | 1376870808 | $31K |
| 3 | 1316029671 | $21K |
| 4 | 1639267214 | $19K |
| 5 | 1881893956 | $8K |
| 6 | 1194794255 | $4K |
| 7 | 1194820993 | $4K |
| 8 | 1073647327 | $3K |
| 9 | 1689047821 | $2K |
| 10 | 1578832242 | $1K |
| 11 | 1992754899 | $668 |
| 12 | 1457652307 | $0 |
Showing top 12 of 12 providers billing this code