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

#2746 of 11K

92511

HCPCS Procedure Code

HCPCS code 92511 is the #2,746 most-billed Medicaid procedure code, with $3.9M in payments across 43K claims from 2018–2024. The national median cost per claim is $80.41.

Total Paid

$3.9M

0.00% of all spending

Total Claims

43K

Providers

161

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for 92511? Based on 160 providers billing this code nationally.

Median

$80.41

Average

$83.76

Std Dev

$55.84

Max

$384.44

Percentile Distribution (Cost per Claim)

p10
$27.19
p25
$47.21
Median
$80.41
p75
$102.12
p90
$133.95
p95
$155.09
p99
$326.14

50% of providers bill between $47.21 and $102.12 per claim for this code.

90% bill between $27.19 and $133.95.

Top 1% bill above $326.14.

About This Procedure

HCPCS code 92511 was billed by 161 providers across 43K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.41

Providers Billing

160

National Spending

$3.9M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92511

#ProviderTotal Paid
1Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$614K
21619039815$324K
31124079769$283K
41164423828$272K
51508990185$249K
61225323389$215K
71831434497$152K
81003865908$146K
91841484235$132K
101376598326$115K
111386680635$89K
121801826219$66K
131821069469$54K
141114986163$50K
151124009048$48K
161538302997$47K
171164608501$41K
181306175484$37K
19New York University

Boynton Beach, FL · Anesthesiology

$36K
201841486545$34K

Showing top 20 of 161 providers billing this code