67311
HCPCS Procedure Code
HCPCS code 67311 is the #1,089 most-billed Medicaid procedure code, with $41.9M in payments across 30K claims from 2018–2024. The national median cost per claim is $610.94. Costs vary widely — the 90th percentile is $2,481.27 per claim, 4.1× the median.
Total Paid
$41.9M
0.00% of all spending
Total Claims
30K
Providers
143
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 67311? Based on 142 providers billing this code nationally.
Median
$610.94
Average
$993.60
Std Dev
$856.98
Max
$4,021.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $449.73 and $1,272.10 per claim for this code.
90% bill between $274.85 and $2,481.27.
Top 1% bill above $3,442.99.
About This Procedure
HCPCS code 67311 was billed by 143 providers across 30K claims, totaling $41.9M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$610.94
Providers Billing
142
National Spending
$41.9M
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 67311
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $8.3M |
| 2 | 1245251222 | $3.9M |
| 3 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $3.8M |
| 4 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $2.6M |
| 5 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $2.3M |
| 6 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $2.1M |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.6M |
| 8 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $1.5M |
| 9 | 1992727663 | $1.4M |
| 10 | Children's Health System Of Texas Plano, TX · General Acute Care Hospital Children | $1.1M |
| 11 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $965K |
| 12 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $765K |
| 13 | 1144471715 | $669K |
| 14 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $658K |
| 15 | 1790794303 | $514K |
| 16 | 1164448486 | $502K |
| 17 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $497K |
| 18 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $468K |
| 19 | 1013957562 | $435K |
| 20 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $432K |
Showing top 20 of 143 providers billing this code