K0856
Power wheelchair, group three, heavy duty, sling seat
Power wheelchair, group three, heavy duty, sling seat is the #4,083 most-billed Medicaid procedure code, with $865K in payments across 267 claims from 2018–2024. The national median cost per claim is $3,459.32.
Total Paid
$865K
0.00% of all spending
Total Claims
267
Providers
5
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for K0856? Based on 5 providers billing this code nationally.
Median
$3,459.32
Average
$3,250.91
Std Dev
$709.91
Max
$4,167.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,684.80 and $3,543.55 per claim for this code.
90% bill between $2,513.36 and $3,918.11.
Top 1% bill above $4,142.84.
About This Procedure
HCPCS code K0856 (Power wheelchair, group three, heavy duty, sling seat) was billed by 5 providers across 267 claims, totaling $865K in Medicaid payments from 2018–2024. This code was used for 250 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3,459.32
Providers Billing
5
National Spending
$865K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for K0856
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487624193 | $308K |
| 2 | 1215933791 | $263K |
| 3 | 1003052598 | $152K |
| 4 | 1538576509 | $89K |
| 5 | 1932484979 | $52K |
Showing top 5 of 5 providers billing this code