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

#4251 of 11K

L0651

HCPCS Procedure Code

HCPCS code L0651 is the #4,251 most-billed Medicaid procedure code, with $713K in payments across 3K claims from 2018–2024. The national median cost per claim is $106.65. Costs vary widely — the 90th percentile is $587.46 per claim, 5.5× the median.

Total Paid

$713K

0.00% of all spending

Total Claims

3K

Providers

34

Avg Cost/Claim

$285

National Cost Distribution

How much do providers bill per claim for L0651? Based on 31 providers billing this code nationally.

Median

$106.65

Average

$255.56

Std Dev

$276.93

Max

$1,014.78

Percentile Distribution (Cost per Claim)

p10
$46.66
p25
$59.34
Median
$106.65
p75
$406.93
p90
$587.46
p95
$820.04
p99
$998.29

50% of providers bill between $59.34 and $406.93 per claim for this code.

90% bill between $46.66 and $587.46.

Top 1% bill above $998.29.

About This Procedure

HCPCS code L0651 was billed by 34 providers across 3K claims, totaling $713K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$106.65

Providers Billing

31

National Spending

$713K

Avg/Median Ratio

2.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for L0651

#ProviderTotal Paid
11164923298$317K
21619952595$68K
31326048893$49K
41194350249$49K
51205078987$33K
61699850073$32K
71336472356$24K
8Integra Partners Llc

Troy, MI · Orthotic Fitter

$24K
91437196557$20K
101033148689$12K
111316346000$12K
121669060703$10K
131720765399$9K
141841824802$8K
151407521768$8K
161689398943$7K
171265675631$5K
181851096838$4K
191184323743$3K
201366968190$3K

Showing top 20 of 34 providers billing this code