Q4131
HCPCS Procedure Code
HCPCS code Q4131 is the #2,721 most-billed Medicaid procedure code, with $4.0M in payments across 4,450 claims from 2018–2024. The national median cost per claim is $999.97. Costs vary widely — the 90th percentile is $2,596.02 per claim, 2.6× the median.
Total Paid
$4.0M
0.00% of all spending
Total Claims
4,450
Providers
17
Avg Cost/Claim
$895
National Cost Distribution
How much do providers bill per claim for Q4131? Based on 16 providers billing this code nationally.
Median
$999.97
Average
$1,226.96
Std Dev
$1,078.82
Max
$3,479.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $327.28 and $1,872.24 per claim for this code.
90% bill between $160.39 and $2,596.02.
Top 1% bill above $3,360.23.
About This Procedure
HCPCS code Q4131 was billed by 17 providers across 4,450 claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 1,906 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$999.97
Providers Billing
16
National Spending
$4.0M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q4131
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689041055 | $1.8M |
| 2 | 1306959721 | $591K |
| 3 | 1992071476 | $340K |
| 4 | 1609976562 | $289K |
| 5 | 1730285073 | $284K |
| 6 | 1790098218 | $201K |
| 7 | 1013013002 | $156K |
| 8 | 1841639200 | $111K |
| 9 | 1285904086 | $89K |
| 10 | 1841356888 | $59K |
| 11 | 1760650402 | $37K |
| 12 | 1477584993 | $26K |
| 13 | 1609328129 | $24K |
| 14 | 1528516291 | $10K |
| 15 | 1326142548 | $10K |
| 16 | 1902897820 | $25 |
| 17 | Kadlec Regional Medical Center Richland, WA · General Acute Care Hospital | $0 |
Showing top 17 of 17 providers billing this code