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#6444 of 11K

D7911

HCPCS Procedure Code

HCPCS code D7911 is the #6,444 most-billed Medicaid procedure code, with $64K in payments across 825 claims from 2018–2024. The national median cost per claim is $69.91. Costs vary widely — the 90th percentile is $148.02 per claim, 2.1× the median.

Total Paid

$64K

0.00% of all spending

Total Claims

825

Providers

7

Avg Cost/Claim

$78

National Cost Distribution

How much do providers bill per claim for D7911? Based on 7 providers billing this code nationally.

Median

$69.91

Average

$86.94

Std Dev

$47.90

Max

$160.97

Percentile Distribution (Cost per Claim)

p10
$44.29
p25
$51.77
Median
$69.91
p75
$119.19
p90
$148.02
p95
$154.49
p99
$159.67

50% of providers bill between $51.77 and $119.19 per claim for this code.

90% bill between $44.29 and $148.02.

Top 1% bill above $159.67.

About This Procedure

HCPCS code D7911 was billed by 7 providers across 825 claims, totaling $64K in Medicaid payments from 2018–2024. This code was used for 626 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$69.91

Providers Billing

7

National Spending

$64K

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7911

#ProviderTotal Paid
11255710810$28K
21730265729$10K
31952721276$9K
41316396401$9K
51265581268$3K
61851622203$3K
71598745531$2K

Showing top 7 of 7 providers billing this code

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