#3405 of 11K

L1810

HCPCS Procedure Code

HCPCS code L1810 is the #3,405 most-billed Medicaid procedure code, with $1.8M in payments across 28K claims from 2018–2024. The national median cost per claim is $62.31.

Total Paid

$1.8M

0.00% of all spending

Total Claims

28K

Providers

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for L1810? Based on 65 providers billing this code nationally.

Median

$62.31

Average

$67.50

Std Dev

$61.42

Max

$525.79

Percentile Distribution (Cost per Claim)

p10

$35.67

p25

$49.57

Median

$62.31

p75

$72.02

p90

$85.71

p95

$98.44

p99

$270.05

50% of providers bill between $49.57 and $72.02 per claim for this code.

90% bill between $35.67 and $85.71.

Top 1% bill above $270.05.

About This Procedure

HCPCS code L1810 was billed by 72 providers across 28K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.31

Providers Billing

National Spending

$1.8M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1810

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1790747244	$514K	$82.65	1.3× median	Above 75th
2	1912909086	$124K	$47.07	0.8× median	Below Median
3	1972550028	$102K	$65.36	1.0× median	Above Median
4	1114987344	$98K	$76.20	1.2× median	Above 75th
5	1164586103	$94K	$59.38	1.0× median	Below Median
6	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$89K	$51.60	0.8× median	Below Median
7	1467879718	$79K	$98.90	1.6× median	Top 10%
8	1265526396	$78K	$49.57	0.8× median	Below Median
9	1346236635	$76K	$40.81	0.7× median	Below Median
10	Integra Partners Llc Troy, MI · Orthotic Fitter	$70K	$64.27	1.0× median	Above Median
11	1619988284	$51K	$49.80	0.8× median	Below Median
12	1457354219	$42K	$56.41	0.9× median	Below Median
13	1346761897	$35K	$99.77	1.6× median	Top 10%
14	1003829342	$29K	$76.45	1.2× median	Above 75th
15	1932187317	$24K	$73.91	1.2× median	Above 75th
16	Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital	$24K	$525.79	8.4× median	Top 1%
17	1740251628	$20K	$43.11	0.7× median	Below Median
18	1366435976	$17K	$52.54	0.8× median	Below Median
19	1467614735	$15K	$72.69	1.2× median	Above 75th
20	1336456193	$14K	$87.75	1.4× median	Top 10%

Showing top 20 of 72 providers billing this code

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