L5637
HCPCS Procedure Code
HCPCS code L5637 is the #3,838 most-billed Medicaid procedure code, with $1.1M in payments across 6,936 claims from 2018–2024. The national median cost per claim is $126.39.
Total Paid
$1.1M
0.00% of all spending
Total Claims
6,936
Providers
47
Avg Cost/Claim
$159
National Cost Distribution
How much do providers bill per claim for L5637? Based on 46 providers billing this code nationally.
Median
$126.39
Average
$156.94
Std Dev
$120.41
Max
$756.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $94.26 and $179.82 per claim for this code.
90% bill between $73.62 and $229.50.
Top 1% bill above $637.09.
About This Procedure
HCPCS code L5637 was billed by 47 providers across 6,936 claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 6,079 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$126.39
Providers Billing
46
National Spending
$1.1M
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L5637
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427179753 | $290K |
| 2 | Integra Partners Llc Troy, MI · Orthotic Fitter | $141K |
| 3 | 1326048893 | $74K |
| 4 | 1417692369 | $60K |
| 5 | 1184607335 | $58K |
| 6 | 1003980988 | $57K |
| 7 | 1679570238 | $42K |
| 8 | 1164586103 | $41K |
| 9 | 1174573307 | $39K |
| 10 | 1730141110 | $29K |
| 11 | 1790787018 | $26K |
| 12 | 1134127061 | $23K |
| 13 | 1780656413 | $21K |
| 14 | 1134129166 | $21K |
| 15 | 1215134986 | $17K |
| 16 | 1285640979 | $16K |
| 17 | 1417021304 | $14K |
| 18 | 1982615712 | $13K |
| 19 | 1548482128 | $12K |
| 20 | 1629258991 | $11K |
Showing top 20 of 47 providers billing this code