D5211
HCPCS Procedure Code
HCPCS code D5211 is the #2,576 most-billed Medicaid procedure code, with $4.9M in payments across 17K claims from 2018–2024. The national median cost per claim is $350.00.
Total Paid
$4.9M
0.00% of all spending
Total Claims
17K
Providers
139
Avg Cost/Claim
$295
National Cost Distribution
How much do providers bill per claim for D5211? Based on 129 providers billing this code nationally.
Median
$350.00
Average
$381.36
Std Dev
$184.80
Max
$858.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $235.61 and $509.67 per claim for this code.
90% bill between $169.22 and $619.57.
Top 1% bill above $852.00.
About This Procedure
HCPCS code D5211 was billed by 139 providers across 17K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$350.00
Providers Billing
129
National Spending
$4.9M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5211
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205053899 | $710K |
| 2 | 1114324951 | $341K |
| 3 | 1275234999 | $314K |
| 4 | 1740271022 | $266K |
| 5 | 1659476356 | $222K |
| 6 | 1003988122 | $221K |
| 7 | Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health | $161K |
| 8 | 1629549829 | $154K |
| 9 | Brockton Neighborhood Health Center Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC) | $150K |
| 10 | 1912430778 | $143K |
| 11 | 1265560445 | $102K |
| 12 | 1316475304 | $99K |
| 13 | 1295156636 | $90K |
| 14 | 1992006449 | $86K |
| 15 | 1992926174 | $73K |
| 16 | 1265415251 | $68K |
| 17 | 1245407881 | $68K |
| 18 | 1477580827 | $66K |
| 19 | 1528325693 | $63K |
| 20 | 1366935017 | $59K |
Showing top 20 of 139 providers billing this code