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#4714 of 11K

L5645

HCPCS Procedure Code

HCPCS code L5645 is the #4,714 most-billed Medicaid procedure code, with $437K in payments across 1,716 claims from 2018–2024. The national median cost per claim is $245.46.

Total Paid

$437K

0.00% of all spending

Total Claims

1,716

Providers

24

Avg Cost/Claim

$254

National Cost Distribution

How much do providers bill per claim for L5645? Based on 24 providers billing this code nationally.

Median

$245.46

Average

$254.39

Std Dev

$117.40

Max

$494.51

Percentile Distribution (Cost per Claim)

p10
$139.56
p25
$208.05
Median
$245.46
p75
$305.86
p90
$415.45
p95
$478.20
p99
$492.09

50% of providers bill between $208.05 and $305.86 per claim for this code.

90% bill between $139.56 and $415.45.

Top 1% bill above $492.09.

About This Procedure

HCPCS code L5645 was billed by 24 providers across 1,716 claims, totaling $437K in Medicaid payments from 2018–2024. This code was used for 1,440 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$245.46

Providers Billing

24

National Spending

$437K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L5645

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$141K
21417692369$39K
31548482128$30K
41790787018$30K
51326048893$24K
61215134986$23K
71285640979$22K
81134129166$22K
91386730554$20K
101629258991$10K
111083788137$9K
121437196557$9K
131245664010$9K
141982615712$9K
151730141110$8K
161841482460$6K
171417983099$5K
181659458040$4K
191407957780$4K
201124075833$3K

Showing top 20 of 24 providers billing this code