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#6348 of 11K

D5611

HCPCS Procedure Code

HCPCS code D5611 is the #6,348 most-billed Medicaid procedure code, with $72K in payments across 1,101 claims from 2018–2024. The national median cost per claim is $42.86.

Total Paid

$72K

0.00% of all spending

Total Claims

1,101

Providers

4

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for D5611? Based on 4 providers billing this code nationally.

Median

$42.86

Average

$45.33

Std Dev

$31.16

Max

$80.18

Percentile Distribution (Cost per Claim)

p10
$17.68
p25
$21.08
Median
$42.86
p75
$67.11
p90
$74.95
p95
$77.56
p99
$79.65

50% of providers bill between $21.08 and $67.11 per claim for this code.

90% bill between $17.68 and $74.95.

Top 1% bill above $79.65.

About This Procedure

HCPCS code D5611 was billed by 4 providers across 1,101 claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 975 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.86

Providers Billing

4

National Spending

$72K

Avg/Median Ratio

1.06×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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