Q5107
HCPCS Procedure Code
HCPCS code Q5107 is the #1,192 most-billed Medicaid procedure code, with $34.2M in payments across 38K claims from 2018–2024. The national median cost per claim is $824.41. Costs vary widely — the 90th percentile is $1,837.34 per claim, 2.2× the median.
Total Paid
$34.2M
0.00% of all spending
Total Claims
38K
Providers
78
Avg Cost/Claim
$895
National Cost Distribution
How much do providers bill per claim for Q5107? Based on 75 providers billing this code nationally.
Median
$824.41
Average
$938.21
Std Dev
$742.42
Max
$4,079.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $427.43 and $1,183.21 per claim for this code.
90% bill between $196.12 and $1,837.34.
Top 1% bill above $3,245.43.
About This Procedure
HCPCS code Q5107 was billed by 78 providers across 38K claims, totaling $34.2M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$824.41
Providers Billing
75
National Spending
$34.2M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5107
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $5.1M |
| 2 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $4.6M |
| 3 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $3.5M |
| 4 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.1M |
| 5 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $1.7M |
| 6 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $1.7M |
| 7 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $1.5M |
| 8 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.3M |
| 9 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $888K |
| 10 | 1528018389 | $872K |
| 11 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $865K |
| 12 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $685K |
| 13 | 1770690695 | $663K |
| 14 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $607K |
| 15 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $537K |
| 16 | University Of California Irvine Orange, CA · General Acute Care Hospital | $475K |
| 17 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $473K |
| 18 | 1679184535 | $472K |
| 19 | 1437230034 | $452K |
| 20 | 1780653618 | $438K |
Showing top 20 of 78 providers billing this code