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#7190 of 11K

L5647

HCPCS Procedure Code

HCPCS code L5647 is the #7,190 most-billed Medicaid procedure code, with $25K in payments across 75 claims from 2018–2024. The national median cost per claim is $364.26.

Total Paid

$25K

0.00% of all spending

Total Claims

75

Providers

5

Avg Cost/Claim

$337

National Cost Distribution

How much do providers bill per claim for L5647? Based on 5 providers billing this code nationally.

Median

$364.26

Average

$340.02

Std Dev

$115.53

Max

$469.41

Percentile Distribution (Cost per Claim)

p10
$217.66
p25
$237.14
Median
$364.26
p75
$424.62
p90
$451.49
p95
$460.45
p99
$467.61

50% of providers bill between $237.14 and $424.62 per claim for this code.

90% bill between $217.66 and $451.49.

Top 1% bill above $467.61.

About This Procedure

HCPCS code L5647 was billed by 5 providers across 75 claims, totaling $25K in Medicaid payments from 2018–2024. This code was used for 67 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$364.26

Providers Billing

5

National Spending

$25K

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L5647

#ProviderTotal Paid
11699227009$8K
2Integra Partners Llc

Troy, MI · Orthotic Fitter

$6K
31982615712$5K
41003980988$4K
51629258991$3K

Showing top 5 of 5 providers billing this code