L3916
HCPCS Procedure Code
HCPCS code L3916 is the #3,521 most-billed Medicaid procedure code, with $1.6M in payments across 13K claims from 2018–2024. The national median cost per claim is $19.90. Costs vary widely — the 90th percentile is $239.29 per claim, 12.0× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
13K
Providers
109
Avg Cost/Claim
$121
National Cost Distribution
How much do providers bill per claim for L3916? Based on 96 providers billing this code nationally.
Median
$19.90
Average
$68.94
Std Dev
$119.34
Max
$535.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.69 and $42.80 per claim for this code.
90% bill between $3.74 and $239.29.
Top 1% bill above $508.98.
About This Procedure
HCPCS code L3916 was billed by 109 providers across 13K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.90
Providers Billing
96
National Spending
$1.6M
Avg/Median Ratio
3.46×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for L3916
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $624K |
| 2 | 1881790004 | $360K |
| 3 | 1003117508 | $71K |
| 4 | 1831759497 | $58K |
| 5 | 1619113800 | $52K |
| 6 | 1902815665 | $50K |
| 7 | 1598043077 | $45K |
| 8 | 1669844650 | $42K |
| 9 | 1508195066 | $40K |
| 10 | 1417501032 | $32K |
| 11 | 1285025973 | $25K |
| 12 | 1639238819 | $20K |
| 13 | 1821426958 | $13K |
| 14 | 1669635173 | $11K |
| 15 | 1497991954 | $9K |
| 16 | 1205125663 | $9K |
| 17 | 1164736815 | $7K |
| 18 | 1407163710 | $6K |
| 19 | 1407521768 | $5K |
| 20 | 1154849859 | $5K |
Showing top 20 of 109 providers billing this code