#2011 of 11K

L3984

HCPCS Procedure Code

HCPCS code L3984 is the #2,011 most-billed Medicaid procedure code, with $10.1M in payments across 55K claims from 2018–2024. The national median cost per claim is $198.13.

Total Paid

$10.1M

0.00% of all spending

Total Claims

55K

Providers

Avg Cost/Claim

$183

National Cost Distribution

How much do providers bill per claim for L3984? Based on 50 providers billing this code nationally.

Median

$198.13

Average

$184.49

Std Dev

$75.17

Max

$366.57

Percentile Distribution (Cost per Claim)

p10

$87.63

p25

$124.82

Median

$198.13

p75

$238.17

p90

$276.94

p95

$292.11

p99

$339.12

50% of providers bill between $124.82 and $238.17 per claim for this code.

90% bill between $87.63 and $276.94.

Top 1% bill above $339.12.

About This Procedure

HCPCS code L3984 was billed by 53 providers across 55K claims, totaling $10.1M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$198.13

Providers Billing

National Spending

$10.1M

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3984

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$6.4M	$176.05	0.9× median	Below Median
2	1790747244	$962K	$241.71	1.2× median	Above 75th
3	1669417531	$335K	$211.24	1.1× median	Above Median
4	1306836465	$256K	$225.00	1.1× median	Above Median
5	1316116858	$242K	$194.68	1.0× median	Below Median
6	1023296035	$210K	$169.03	0.9× median	Below Median
7	1972566594	$194K	$203.67	1.0× median	Above Median
8	1457354219	$188K	$123.22	0.6× median	Below Median
9	1891787594	$159K	$158.68	0.8× median	Below Median
10	1851337604	$142K	$201.89	1.0× median	Above Median
11	1932187317	$112K	$219.93	1.1× median	Above Median
12	1326048893	$109K	$248.78	1.3× median	Above 75th
13	1669532248	$102K	$287.76	1.5× median	Top 10%
14	1790986958	$96K	$216.02	1.1× median	Above Median
15	1205880291	$72K	$160.42	0.8× median	Below Median
16	1881700508	$40K	$160.84	0.8× median	Below Median
17	1174573307	$40K	$275.74	1.4× median	Above 75th
18	1902873649	$38K	$164.22	0.8× median	Below Median
19	1053440321	$37K	$310.54	1.6× median	Top 10%
20	1700119559	$37K	$156.50	0.8× median	Below Median

Showing top 20 of 53 providers billing this code

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L3982$1.2M L3980$251K L3978$696

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