L1821
HCPCS Procedure Code
HCPCS code L1821 is the #6,602 most-billed Medicaid procedure code, with $53K in payments across 1K claims from 2018–2024. The national median cost per claim is $51.43. Costs vary widely — the 90th percentile is $129.53 per claim, 2.5× the median.
Total Paid
$53K
0.00% of all spending
Total Claims
1K
Providers
15
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for L1821? Based on 14 providers billing this code nationally.
Median
$51.43
Average
$61.16
Std Dev
$48.27
Max
$139.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.31 and $88.80 per claim for this code.
90% bill between $5.32 and $129.53.
Top 1% bill above $138.45.
About This Procedure
HCPCS code L1821 was billed by 15 providers across 1K claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.43
Providers Billing
14
National Spending
$53K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L1821
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750582920 | $13K |
| 2 | 1891787594 | $9K |
| 3 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $8K |
| 4 | 1790986958 | $5K |
| 5 | 1245266469 | $4K |
| 6 | 1871038034 | $4K |
| 7 | 1861573685 | $3K |
| 8 | 1790747244 | $3K |
| 9 | 1003829342 | $2K |
| 10 | 1821317520 | $1K |
| 11 | 1023296035 | $1K |
| 12 | 1053440321 | $276 |
| 13 | 1659365849 | $203 |
| 14 | 1669532248 | $106 |
| 15 | 1306836465 | $0 |
Showing top 15 of 15 providers billing this code