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#997 of 11K

K0823

Power wheelchair, Group 2

Power wheelchair, Group 2 is the #997 most-billed Medicaid procedure code, with $49.4M in payments across 515K claims from 2018–2024. The national median cost per claim is $95.35. Costs vary widely — the 90th percentile is $336.64 per claim, 3.5× the median.

Total Paid

$49.4M

0.00% of all spending

Total Claims

515K

Providers

437

Avg Cost/Claim

$96

National Cost Distribution

How much do providers bill per claim for K0823? Based on 436 providers billing this code nationally.

Median

$95.35

Average

$188.14

Std Dev

$401.98

Max

$4,899.95

Percentile Distribution (Cost per Claim)

p10
$38.95
p25
$58.43
Median
$95.35
p75
$174.31
p90
$336.64
p95
$473.06
p99
$1,869.97

50% of providers bill between $58.43 and $174.31 per claim for this code.

90% bill between $38.95 and $336.64.

Top 1% bill above $1,869.97.

About This Procedure

HCPCS code K0823 (Power wheelchair, Group 2) was billed by 437 providers across 515K claims, totaling $49.4M in Medicaid payments from 2018–2024. This code was used for 444K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.35

Providers Billing

436

National Spending

$49.4M

Avg/Median Ratio

1.97×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for K0823

#ProviderTotal Paid
11023096104$4.0M
2Integra Partners Llc

Troy, MI · Orthotic Fitter

$1.5M
31538576509$1.3M
41326077249$1.3M
51003065418$975K
61922035567$974K
7H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$900K
81568491496$780K
91922248392$666K
101477594877$652K
111033201249$648K
121205837879$623K
131457396376$615K
141790714624$569K
151184685653$538K
161841263621$515K
171518231547$512K
181033374517$504K
191649413022$483K
201417986357$460K

Showing top 20 of 437 providers billing this code