#1075 of 11K

D9110

HCPCS Procedure Code

HCPCS code D9110 is the #1,075 most-billed Medicaid procedure code, with $42.8M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $38.08.

Total Paid

$42.8M

0.00% of all spending

Total Claims

1.1M

Providers

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for D9110? Based on 3K providers billing this code nationally.

Median

$38.08

Average

$38.95

Std Dev

$21.46

Max

$501.54

Percentile Distribution (Cost per Claim)

p10

$14.88

p25

$24.06

Median

$38.08

p75

$54.03

p90

$62.25

p95

$63.00

p99

$78.90

50% of providers bill between $24.06 and $54.03 per claim for this code.

90% bill between $14.88 and $62.25.

Top 1% bill above $78.90.

About This Procedure

HCPCS code D9110 was billed by 3K providers across 1.1M claims, totaling $42.8M in Medicaid payments from 2018–2024. This code was used for 975K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.08

Providers Billing

National Spending

$42.8M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D9110

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1114454287	$2.2M	$62.88	1.7× median	Top 10%
2	1124576517	$651K	$61.27	1.6× median	Above 75th
3	1396846184	$573K	$50.60	1.3× median	Above Median
4	1720177066	$516K	$52.88	1.4× median	Above Median
5	1023167194	$433K	$54.08	1.4× median	Above 75th
6	Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health	$426K	$22.82	0.6× median	Below Median
7	1306985999	$386K	$54.48	1.4× median	Above 75th
8	Brockton Neighborhood Health Center Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC)	$380K	$23.16	0.6× median	Below Median
9	1740271022	$335K	$23.39	0.6× median	Below Median
10	1508182312	$332K	$42.60	1.1× median	Above Median
11	1548272313	$325K	$39.12	1.0× median	Above Median
12	1912567413	$322K	$49.23	1.3× median	Above Median
13	1063480218	$320K	$59.07	1.6× median	Above 75th
14	1932663150	$286K	$44.46	1.2× median	Above Median
15	1457340002	$279K	$53.41	1.4× median	Above Median
16	1386872141	$277K	$61.00	1.6× median	Above 75th
17	1356697924	$274K	$41.56	1.1× median	Above Median
18	1134491194	$273K	$72.08	1.9× median	Top 10%
19	1841200664	$270K	$22.72	0.6× median	Below Median
20	1366582090	$253K	$21.56	0.6× median	Below Median

Showing top 20 of 3K providers billing this code

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