D5130
HCPCS Procedure Code
HCPCS code D5130 is the #1,841 most-billed Medicaid procedure code, with $13.0M in payments across 23K claims from 2018–2024. The national median cost per claim is $622.74.
Total Paid
$13.0M
0.00% of all spending
Total Claims
23K
Providers
140
Avg Cost/Claim
$558
National Cost Distribution
How much do providers bill per claim for D5130? Based on 131 providers billing this code nationally.
Median
$622.74
Average
$632.51
Std Dev
$201.73
Max
$1,326.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $491.90 and $822.54 per claim for this code.
90% bill between $400.00 and $866.04.
Top 1% bill above $1,001.00.
About This Procedure
HCPCS code D5130 was billed by 140 providers across 23K claims, totaling $13.0M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$622.74
Providers Billing
131
National Spending
$13.0M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5130
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760891543 | $750K |
| 2 | 1588078273 | $674K |
| 3 | 1619205721 | $641K |
| 4 | 1831371962 | $618K |
| 5 | 1912430778 | $518K |
| 6 | 1851964829 | $510K |
| 7 | 1861152068 | $460K |
| 8 | 1982991311 | $448K |
| 9 | 1831586148 | $416K |
| 10 | 1316340342 | $407K |
| 11 | 1639393846 | $320K |
| 12 | 1689779282 | $319K |
| 13 | 1225013899 | $294K |
| 14 | 1336641109 | $278K |
| 15 | 1629641600 | $262K |
| 16 | 1437435781 | $260K |
| 17 | 1588038327 | $258K |
| 18 | 1225530835 | $237K |
| 19 | 1780713974 | $221K |
| 20 | 1821520842 | $220K |
Showing top 20 of 140 providers billing this code