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#5666 of 11K

D9911

HCPCS Procedure Code

HCPCS code D9911 is the #5,666 most-billed Medicaid procedure code, with $158K in payments across 20K claims from 2018–2024. The national median cost per claim is $1.96. Costs vary widely — the 90th percentile is $43.03 per claim, 22.0× the median.

Total Paid

$158K

0.00% of all spending

Total Claims

20K

Providers

15

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for D9911? Based on 8 providers billing this code nationally.

Median

$1.96

Average

$17.39

Std Dev

$31.43

Max

$92.11

Percentile Distribution (Cost per Claim)

p10
$0.20
p25
$1.48
Median
$1.96
p75
$19.61
p90
$43.03
p95
$67.57
p99
$87.20

50% of providers bill between $1.48 and $19.61 per claim for this code.

90% bill between $0.20 and $43.03.

Top 1% bill above $87.20.

About This Procedure

HCPCS code D9911 was billed by 15 providers across 20K claims, totaling $158K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.96

Providers Billing

8

National Spending

$158K

Avg/Median Ratio

8.87×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for D9911

#ProviderTotal Paid
1Department Of Intellectual And Developmental Disabilities, State Of Tn

Nashville, TN · Public Health or Welfare

$81K
21801929591$45K
31154574465$27K
41265588412$3K
51184861114$1K
61194740944$182
71972674448$61
81548861750$10
91578899837$0
101982775458$0
111871823435$0
121902426240$0
131649661612$0
141467853085$0
151316991490$0

Showing top 15 of 15 providers billing this code