#3562 of 11K

L8000

HCPCS Procedure Code

HCPCS code L8000 is the #3,562 most-billed Medicaid procedure code, with $1.5M in payments across 45K claims from 2018–2024. The national median cost per claim is $35.28.

Total Paid

$1.5M

0.00% of all spending

Total Claims

45K

Providers

141

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for L8000? Based on 137 providers billing this code nationally.

Median

$35.28

Average

$38.08

Std Dev

$27.32

Max

$220.62

Percentile Distribution (Cost per Claim)

p10

$12.05

p25

$20.24

Median

$35.28

p75

$47.61

p90

$69.20

p95

$80.91

p99

$108.96

50% of providers bill between $20.24 and $47.61 per claim for this code.

90% bill between $12.05 and $69.20.

Top 1% bill above $108.96.

About This Procedure

HCPCS code L8000 was billed by 141 providers across 45K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.28

Providers Billing

137

National Spending

$1.5M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L8000

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1659365849	$139K	$60.19	1.7× median	Above 75th
2	1881698439	$104K	$21.31	0.6× median	Below Median
3	1679729644	$75K	$59.40	1.7× median	Above 75th
4	1144207911	$69K	$50.88	1.4× median	Above 75th
5	1164586103	$56K	$41.96	1.2× median	Above Median
6	1144269911	$54K	$38.07	1.1× median	Above Median
7	1366460248	$52K	$41.75	1.2× median	Above Median
8	1871691535	$40K	$41.20	1.2× median	Above Median
9	1790784122	$40K	$41.55	1.2× median	Above Median
10	1366432122	$39K	$18.35	0.5× median	Below Median
11	1669706719	$38K	$29.91	0.8× median	Below Median
12	1194784777	$37K	$53.23	1.5× median	Above 75th
13	1790866408	$33K	$38.57	1.1× median	Above Median
14	1629013834	$31K	$20.67	0.6× median	Below Median
15	1639114242	$28K	$38.39	1.1× median	Above Median
16	1912907478	$28K	$46.54	1.3× median	Above Median
17	1427507383	$25K	$80.89	2.3× median	Top 10%
18	Integra Partners Llc Troy, MI · Orthotic Fitter	$23K	$78.22	2.2× median	Top 10%
19	1164506069	$23K	$36.84	1.0× median	Above Median
20	1790708030	$22K	$25.62	0.7× median	Below Median

Showing top 20 of 141 providers billing this code

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