Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2483 of 11K

71101

HCPCS Procedure Code

HCPCS code 71101 is the #2,483 most-billed Medicaid procedure code, with $5.4M in payments across 294K claims from 2018–2024. The national median cost per claim is $11.93. Costs vary widely — the 90th percentile is $62.77 per claim, 5.3× the median.

Total Paid

$5.4M

0.00% of all spending

Total Claims

294K

Providers

966

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 71101? Based on 914 providers billing this code nationally.

Median

$11.93

Average

$23.99

Std Dev

$32.45

Max

$432.14

Percentile Distribution (Cost per Claim)

p10
$3.43
p25
$7.10
Median
$11.93
p75
$28.31
p90
$62.77
p95
$82.55
p99
$133.71

50% of providers bill between $7.10 and $28.31 per claim for this code.

90% bill between $3.43 and $62.77.

Top 1% bill above $133.71.

About This Procedure

HCPCS code 71101 was billed by 966 providers across 294K claims, totaling $5.4M in Medicaid payments from 2018–2024. This code was used for 275K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.93

Providers Billing

914

National Spending

$5.4M

Avg/Median Ratio

2.01×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 71101

#ProviderTotal Paid
1Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$190K
2Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$185K
3Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$184K
4Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$172K
5Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$130K
61689282147$93K
71740283324$80K
8Kaiser Foundation Hospitals

Sacramento, CA · General Acute Care Hospital

$73K
9Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$62K
10Spartanburg Medical Center

Spartanburg, SC · Ambulance

$61K
111619038247$60K
121114081056$59K
13City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$58K
14Kaiser Foundation Hospitals

Baldwin Park, CA · General Acute Care Hospital

$57K
15Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$56K
16Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$46K
17Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$44K
181376698043$41K
19St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$39K
20Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$38K

Showing top 20 of 966 providers billing this code