76511
HCPCS Procedure Code
HCPCS code 76511 is the #4,042 most-billed Medicaid procedure code, with $906K in payments across 20K claims from 2018–2024. The national median cost per claim is $41.10.
Total Paid
$906K
0.00% of all spending
Total Claims
20K
Providers
14
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 76511? Based on 14 providers billing this code nationally.
Median
$41.10
Average
$44.42
Std Dev
$22.30
Max
$100.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.73 and $55.69 per claim for this code.
90% bill between $27.26 and $64.11.
Top 1% bill above $96.08.
About This Procedure
HCPCS code 76511 was billed by 14 providers across 20K claims, totaling $906K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$41.10
Providers Billing
14
National Spending
$906K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76511
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508132564 | $255K |
| 2 | 1033381983 | $228K |
| 3 | 1932137601 | $160K |
| 4 | 1740723774 | $147K |
| 5 | 1396023891 | $64K |
| 6 | 1649736570 | $31K |
| 7 | 1013957562 | $9K |
| 8 | 1124189089 | $4K |
| 9 | 1841292802 | $4K |
| 10 | 1548289671 | $2K |
| 11 | 1215939210 | $1K |
| 12 | 1285247528 | $659 |
| 13 | 1245251222 | $533 |
| 14 | 1972539112 | $503 |
Showing top 14 of 14 providers billing this code