H1011
HCPCS Procedure Code
HCPCS code H1011 is the #3,796 most-billed Medicaid procedure code, with $1.2M in payments across 19K claims from 2018–2024. The national median cost per claim is $47.19. Costs vary widely — the 90th percentile is $234.09 per claim, 5.0× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
19K
Providers
64
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for H1011? Based on 61 providers billing this code nationally.
Median
$47.19
Average
$99.40
Std Dev
$153.99
Max
$889.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.23 and $93.38 per claim for this code.
90% bill between $21.43 and $234.09.
Top 1% bill above $832.86.
About This Procedure
HCPCS code H1011 was billed by 64 providers across 19K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.19
Providers Billing
61
National Spending
$1.2M
Avg/Median Ratio
2.11×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H1011
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720486228 | $145K |
| 2 | 1124319892 | $120K |
| 3 | 1033385828 | $102K |
| 4 | County Of Riverside Riverside, CA · Community/Behavioral Health | $82K |
| 5 | 1073701033 | $62K |
| 6 | 1184880924 | $62K |
| 7 | 1033725684 | $54K |
| 8 | 1821297276 | $50K |
| 9 | 1477766905 | $49K |
| 10 | 1285979757 | $40K |
| 11 | 1356492532 | $33K |
| 12 | 1912091018 | $28K |
| 13 | 1285078949 | $28K |
| 14 | 1871259770 | $25K |
| 15 | 1083886022 | $24K |
| 16 | 1699311894 | $24K |
| 17 | 1043239320 | $23K |
| 18 | 1700129491 | $20K |
| 19 | 1306970652 | $14K |
| 20 | 1023122967 | $13K |
Showing top 20 of 64 providers billing this code