Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4824 of 11K

E1811

HCPCS Procedure Code

HCPCS code E1811 is the #4,824 most-billed Medicaid procedure code, with $385K in payments across 4,548 claims from 2018–2024. The national median cost per claim is $55.15.

Total Paid

$385K

0.00% of all spending

Total Claims

4,548

Providers

2

Avg Cost/Claim

$85

National Cost Distribution

How much do providers bill per claim for E1811? Based on 2 providers billing this code nationally.

Median

$55.15

Average

$55.15

Std Dev

$41.93

Max

$84.80

Percentile Distribution (Cost per Claim)

p10
$31.43
p25
$40.33
Median
$55.15
p75
$69.97
p90
$78.87
p95
$81.83
p99
$84.21

50% of providers bill between $40.33 and $69.97 per claim for this code.

90% bill between $31.43 and $78.87.

Top 1% bill above $84.21.

About This Procedure

HCPCS code E1811 was billed by 2 providers across 4,548 claims, totaling $385K in Medicaid payments from 2018–2024. This code was used for 3,848 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.15

Providers Billing

2

National Spending

$385K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.