#2745 of 11K

L0637

HCPCS Procedure Code

HCPCS code L0637 is the #2,745 most-billed Medicaid procedure code, with $3.9M in payments across 10K claims from 2018–2024. The national median cost per claim is $387.20. Costs vary widely — the 90th percentile is $917.42 per claim, 2.4× the median.

Total Paid

$3.9M

0.00% of all spending

Total Claims

10K

Providers

Avg Cost/Claim

$398

National Cost Distribution

How much do providers bill per claim for L0637? Based on 72 providers billing this code nationally.

Median

$387.20

Average

$461.87

Std Dev

$350.90

Max

$1,382.92

Percentile Distribution (Cost per Claim)

p10

$23.49

p25

$168.92

Median

$387.20

p75

$724.00

p90

$917.42

p95

$1,005.00

p99

$1,246.17

50% of providers bill between $168.92 and $724.00 per claim for this code.

90% bill between $23.49 and $917.42.

Top 1% bill above $1,246.17.

About This Procedure

HCPCS code L0637 was billed by 78 providers across 10K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$387.20

Providers Billing

National Spending

$3.9M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0637

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1770511552	$478K	$175.43	0.5× median	Below Median
2	1336552140	$447K	$1,014.95	2.6× median	Top 10%
3	1598043077	$398K	$851.42	2.2× median	Above 75th
4	Integra Partners Llc Troy, MI · Orthotic Fitter	$348K	$465.06	1.2× median	Above Median
5	1487803409	$272K	$888.43	2.3× median	Above 75th
6	1619202702	$255K	$837.17	2.2× median	Above 75th
7	1275511297	$202K	$689.49	1.8× median	Above Median
8	1831759497	$121K	$293.65	0.8× median	Below Median
9	1891787594	$104K	$844.90	2.2× median	Above 75th
10	1376830273	$94K	$776.80	2.0× median	Above 75th
11	1316116858	$90K	$679.35	1.8× median	Above Median
12	1093819419	$86K	$1,382.92	3.6× median	Top 1%
13	1902815665	$81K	$876.10	2.3× median	Above 75th
14	1194332973	$76K	$812.32	2.1× median	Above 75th
15	1306849534	$66K	$706.28	1.8× median	Above Median
16	1003195983	$53K	$752.34	1.9× median	Above 75th
17	1558740282	$53K	$744.65	1.9× median	Above 75th
18	1356654164	$52K	$179.98	0.5× median	Below Median
19	1992078919	$50K	$278.64	0.7× median	Below Median
20	1356968234	$46K	$1,190.31	3.1× median	Top 10%

Showing top 20 of 78 providers billing this code

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