H1005
HCPCS Procedure Code
HCPCS code H1005 is the #3,066 most-billed Medicaid procedure code, with $2.6M in payments across 10K claims from 2018–2024. The national median cost per claim is $326.47.
Total Paid
$2.6M
0.00% of all spending
Total Claims
10K
Providers
19
Avg Cost/Claim
$262
National Cost Distribution
How much do providers bill per claim for H1005? Based on 19 providers billing this code nationally.
Median
$326.47
Average
$329.73
Std Dev
$191.16
Max
$778.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $240.56 and $443.93 per claim for this code.
90% bill between $54.48 and $518.66.
Top 1% bill above $733.32.
About This Procedure
HCPCS code H1005 was billed by 19 providers across 10K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$326.47
Providers Billing
19
National Spending
$2.6M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H1005
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568933950 | $609K |
| 2 | 1841593225 | $425K |
| 3 | 1013089002 | $318K |
| 4 | 1770699936 | $314K |
| 5 | University Physicians Incorporated Aurora, CO · Anesthesiology | $283K |
| 6 | 1063145019 | $264K |
| 7 | 1831397215 | $111K |
| 8 | 1730166034 | $52K |
| 9 | Optum Women's And Children's Health, Llc Marietta, GA · Home Health | $46K |
| 10 | 1225025406 | $42K |
| 11 | 1013924372 | $21K |
| 12 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $21K |
| 13 | 1548256522 | $20K |
| 14 | 1477640258 | $19K |
| 15 | 1275003949 | $17K |
| 16 | 1144518341 | $16K |
| 17 | 1811279136 | $14K |
| 18 | 1447254313 | $9K |
| 19 | 1356562011 | $7K |
Showing top 19 of 19 providers billing this code