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#3838 of 11K

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)

p10
$73.62
p25
$94.26
Median
$126.39
p75
$179.82
p90
$229.50
p95
$329.59
p99
$637.09

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

#ProviderTotal Paid
11427179753$290K
2Integra Partners Llc

Troy, MI · Orthotic Fitter

$141K
31326048893$74K
41417692369$60K
51184607335$58K
61003980988$57K
71679570238$42K
81164586103$41K
91174573307$39K
101730141110$29K
111790787018$26K
121134127061$23K
131780656413$21K
141134129166$21K
151215134986$17K
161285640979$16K
171417021304$14K
181982615712$13K
191548482128$12K
201629258991$11K

Showing top 20 of 47 providers billing this code