L1960
HCPCS Procedure Code
HCPCS code L1960 is the #1,073 most-billed Medicaid procedure code, with $43.2M in payments across 103K claims from 2018–2024. The national median cost per claim is $395.95.
Total Paid
$43.2M
0.00% of all spending
Total Claims
103K
Providers
209
Avg Cost/Claim
$418
National Cost Distribution
How much do providers bill per claim for L1960? Based on 209 providers billing this code nationally.
Median
$395.95
Average
$432.88
Std Dev
$172.89
Max
$1,679.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $320.79 and $521.77 per claim for this code.
90% bill between $266.95 and $629.99.
Top 1% bill above $945.41.
About This Procedure
HCPCS code L1960 was billed by 209 providers across 103K claims, totaling $43.2M in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$395.95
Providers Billing
209
National Spending
$43.2M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L1960
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588062764 | $2.0M |
| 2 | 1003980988 | $1.7M |
| 3 | 1093715849 | $1.5M |
| 4 | 1437691714 | $1.5M |
| 5 | 1306910260 | $1.2M |
| 6 | 1093717365 | $1.2M |
| 7 | 1699850073 | $1.1M |
| 8 | 1487652749 | $1.1M |
| 9 | 1942378328 | $1.1M |
| 10 | 1558612135 | $993K |
| 11 | 1851450894 | $939K |
| 12 | 1851669584 | $939K |
| 13 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $861K |
| 14 | 1174573307 | $779K |
| 15 | 1184607335 | $776K |
| 16 | 1477558047 | $751K |
| 17 | 1992075295 | $730K |
| 18 | Integra Partners Llc Troy, MI · Orthotic Fitter | $719K |
| 19 | 1811213549 | $689K |
| 20 | 1235139528 | $675K |
Showing top 20 of 209 providers billing this code