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#1192 of 11K

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)

p10
$196.12
p25
$427.43
Median
$824.41
p75
$1,183.21
p90
$1,837.34
p95
$2,343.72
p99
$3,245.43

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

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$5.1M
2Alivia Specialty Llc

Guaynabo, PR · Pharmacy Specialty Pharmacy

$4.6M
3City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$3.5M
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.1M
5The Cooper Health System

Camden, NJ · General Acute Care Hospital

$1.7M
6Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$1.7M
7Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$1.5M
8The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$1.3M
9Upmc Magee-womens Hospital

Pittsburgh, PA · General Acute Care Hospital

$888K
101528018389$872K
11Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$865K
12Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$685K
131770690695$663K
14Hartford Hospital

Hartford, CT · General Acute Care Hospital

$607K
15Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$537K
16University Of California Irvine

Orange, CA · General Acute Care Hospital

$475K
17University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$473K
181679184535$472K
191437230034$452K
201780653618$438K

Showing top 20 of 78 providers billing this code