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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $81K |
| 2 | 1801929591 | $45K |
| 3 | 1154574465 | $27K |
| 4 | 1265588412 | $3K |
| 5 | 1184861114 | $1K |
| 6 | 1194740944 | $182 |
| 7 | 1972674448 | $61 |
| 8 | 1548861750 | $10 |
| 9 | 1578899837 | $0 |
| 10 | 1982775458 | $0 |
| 11 | 1871823435 | $0 |
| 12 | 1902426240 | $0 |
| 13 | 1649661612 | $0 |
| 14 | 1467853085 | $0 |
| 15 | 1316991490 | $0 |
Showing top 15 of 15 providers billing this code