#3206 of 11K

67113

HCPCS Procedure Code

HCPCS code 67113 is the #3,206 most-billed Medicaid procedure code, with $2.2M in payments across 2,099 claims from 2018–2024. The national median cost per claim is $824.94. Costs vary widely — the 90th percentile is $2,335.15 per claim, 2.8× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

2,099

Providers

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 67113? Based on 23 providers billing this code nationally.

Median

$824.94

Average

$1,088.81

Std Dev

$803.77

Max

$2,977.44

Percentile Distribution (Cost per Claim)

p10

$316.97

p25

$514.03

Median

$824.94

p75

$1,246.44

p90

$2,335.15

p95

$2,658.21

p99

$2,914.95

50% of providers bill between $514.03 and $1,246.44 per claim for this code.

90% bill between $316.97 and $2,335.15.

Top 1% bill above $2,914.95.

About This Procedure

HCPCS code 67113 was billed by 23 providers across 2,099 claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 1,999 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$824.94

Providers Billing

National Spending

$2.2M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 67113

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1245251222	$494K	$2,977.44	3.6× median	Top 1%
2	1295710002	$401K	$1,229.16	1.5× median	Above Median
3	Faculty Physicians And Surgeons Of Llusm Redlands, CA · Pediatrics	$347K	$824.94	1.0× median	Above Median
4	1275583205	$327K	$1,001.40	1.2× median	Above Median
5	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$149K	$558.92	0.7× median	Below Median
6	1437109469	$74K	$782.03	0.9× median	Below Median
7	1639101751	$74K	$1,793.79	2.2× median	Above 75th
8	1962943118	$64K	$1,263.72	1.5× median	Above 75th
9	1205878758	$40K	$1,081.72	1.3× median	Above Median
10	1427360700	$35K	$2,693.38	3.3× median	Top 10%
11	1538535158	$30K	$2,309.03	2.8× median	Above 75th
12	1306914213	$28K	$2,341.69	2.8× median	Top 10%
13	1679660617	$28K	$380.76	0.5× median	Below Median
14	1881899284	$25K	$569.23	0.7× median	Below Median
15	Clara Maass Medical Center Belleville, NJ · General Acute Care Hospital	$24K	$808.72	1.0× median	Below Median
16	1215003793	$24K	$469.14	0.6× median	Below Median
17	1245233923	$15K	$1,123.39	1.4× median	Above Median
18	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$12K	$257.63	0.3× median	Below Median
19	1104868520	$12K	$1,006.49	1.2× median	Above Median
20	1104221035	$10K	$696.94	0.8× median	Below Median

Showing top 20 of 23 providers billing this code

Related Procedures

67108$118K

← All procedures Top providers →