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

#1687 of 11K

K1005

HCPCS Procedure Code

HCPCS code K1005 is the #1,687 most-billed Medicaid procedure code, with $16.0M in payments across 371K claims from 2018–2024. The national median cost per claim is $37.63.

Total Paid

$16.0M

0.00% of all spending

Total Claims

371K

Providers

47

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for K1005? Based on 46 providers billing this code nationally.

Median

$37.63

Average

$35.80

Std Dev

$19.60

Max

$91.93

Percentile Distribution (Cost per Claim)

p10
$14.40
p25
$22.33
Median
$37.63
p75
$41.78
p90
$59.45
p95
$77.19
p99
$87.96

50% of providers bill between $22.33 and $41.78 per claim for this code.

90% bill between $14.40 and $59.45.

Top 1% bill above $87.96.

About This Procedure

HCPCS code K1005 was billed by 47 providers across 371K claims, totaling $16.0M in Medicaid payments from 2018–2024. This code was used for 309K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.63

Providers Billing

46

National Spending

$16.0M

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K1005

#ProviderTotal Paid
1Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$5.8M
21306961511$3.6M
31053364695$1.2M
41639375835$1.2M
51184960874$828K
61689665911$816K
71336219419$440K
81215997853$434K
91801300058$304K
101992164883$194K
111215277496$153K
121255741765$153K
13Integra Partners Llc

Troy, MI · Orthotic Fitter

$142K
141831708163$124K
151669415394$100K
161568702744$82K
171538254461$79K
181437348596$68K
191760918882$59K
201639243611$49K

Showing top 20 of 47 providers billing this code

Related Procedures