#2955 of 11K

Q5106

HCPCS Procedure Code

HCPCS code Q5106 is the #2,955 most-billed Medicaid procedure code, with $2.9M in payments across 47K claims from 2018–2024. The national median cost per claim is $56.95. Costs vary widely — the 90th percentile is $171.48 per claim, 3.0× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

47K

Providers

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for Q5106? Based on 88 providers billing this code nationally.

Median

$56.95

Average

$78.14

Std Dev

$68.56

Max

$308.79

Percentile Distribution (Cost per Claim)

p10

$11.52

p25

$27.67

Median

$56.95

p75

$94.63

p90

$171.48

p95

$224.00

p99

$279.94

50% of providers bill between $27.67 and $94.63 per claim for this code.

90% bill between $11.52 and $171.48.

Top 1% bill above $279.94.

About This Procedure

HCPCS code Q5106 was billed by 93 providers across 47K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.95

Providers Billing

National Spending

$2.9M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5106

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1871844522	$452K	$241.44	4.2× median	Top 10%
2	1295023547	$231K	$112.95	2.0× median	Above 75th
3	1639109457	$200K	$134.72	2.4× median	Above 75th
4	1467437848	$118K	$215.93	3.8× median	Top 10%
5	Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport	$117K	$25.55	0.4× median	Below Median
6	1770690695	$100K	$81.84	1.4× median	Above Median
7	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$98K	$37.02	0.7× median	Below Median
8	State Of Connecticut Farmington, CT · Counselor, Professional	$96K	$84.24	1.5× median	Above Median
9	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$92K	$48.82	0.9× median	Below Median
10	1366404428	$83K	$83.91	1.5× median	Above Median
11	1013917400	$79K	$42.42	0.7× median	Below Median
12	The Queens Medical Center Honolulu, HI · Psychiatric Unit	$78K	$74.18	1.3× median	Above Median
13	1528399193	$68K	$226.23	4.0× median	Top 10%
14	1780648352	$62K	$30.83	0.5× median	Below Median
15	1902988496	$53K	$53.85	0.9× median	Below Median
16	1598875460	$53K	$38.37	0.7× median	Below Median
17	1407117948	$50K	$95.64	1.7× median	Above 75th
18	1598202558	$48K	$52.99	0.9× median	Below Median
19	1780107797	$47K	$218.78	3.8× median	Top 10%
20	Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital	$47K	$80.67	1.4× median	Above Median

Showing top 20 of 93 providers billing this code

Related Procedures

Q5103$103.2M Q5104$59.6M Q5107$34.2M Q5111$25.6M Q5108$19.3M

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