95911
HCPCS Procedure Code
HCPCS code 95911 is the #1,018 most-billed Medicaid procedure code, with $47.6M in payments across 366K claims from 2018–2024. The national median cost per claim is $122.86.
Total Paid
$47.6M
0.00% of all spending
Total Claims
366K
Providers
977
Avg Cost/Claim
$130
National Cost Distribution
How much do providers bill per claim for 95911? Based on 949 providers billing this code nationally.
Median
$122.86
Average
$133.53
Std Dev
$89.31
Max
$1,656.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $83.35 and $166.49 per claim for this code.
90% bill between $56.18 and $214.63.
Top 1% bill above $400.56.
About This Procedure
HCPCS code 95911 was billed by 977 providers across 366K claims, totaling $47.6M in Medicaid payments from 2018–2024. This code was used for 333K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$122.86
Providers Billing
949
National Spending
$47.6M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95911
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043497571 | $1.4M |
| 2 | 1760441141 | $1.3M |
| 3 | 1033548581 | $1.1M |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $948K |
| 5 | 1962597492 | $940K |
| 6 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $858K |
| 7 | 1275647851 | $791K |
| 8 | 1427165596 | $759K |
| 9 | 1447244256 | $742K |
| 10 | 1740856285 | $556K |
| 11 | 1053629477 | $551K |
| 12 | 1215122577 | $530K |
| 13 | 1184679201 | $505K |
| 14 | Lawrence And Memorial Hospital, Inc. New London, CT · Internal Medicine | $502K |
| 15 | 1932569324 | $494K |
| 16 | 1326060740 | $485K |
| 17 | 1750493979 | $471K |
| 18 | 1215402870 | $443K |
| 19 | 1376642900 | $425K |
| 20 | 1841285996 | $417K |
Showing top 20 of 977 providers billing this code