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#1018 of 11K

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)

p10
$56.18
p25
$83.35
Median
$122.86
p75
$166.49
p90
$214.63
p95
$247.19
p99
$400.56

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

#ProviderTotal Paid
11043497571$1.4M
21760441141$1.3M
31033548581$1.1M
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$948K
51962597492$940K
6Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$858K
71275647851$791K
81427165596$759K
91447244256$742K
101740856285$556K
111053629477$551K
121215122577$530K
131184679201$505K
14Lawrence And Memorial Hospital, Inc.

New London, CT · Internal Medicine

$502K
151932569324$494K
161326060740$485K
171750493979$471K
181215402870$443K
191376642900$425K
201841285996$417K

Showing top 20 of 977 providers billing this code