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#2536 of 11K

Q5114

HCPCS Procedure Code

HCPCS code Q5114 is the #2,536 most-billed Medicaid procedure code, with $5.1M in payments across 3,072 claims from 2018–2024. The national median cost per claim is $1,646.41.

Total Paid

$5.1M

0.00% of all spending

Total Claims

3,072

Providers

12

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for Q5114? Based on 12 providers billing this code nationally.

Median

$1,646.41

Average

$2,685.66

Std Dev

$3,892.61

Max

$14,969.25

Percentile Distribution (Cost per Claim)

p10
$1,243.47
p25
$1,289.49
Median
$1,646.41
p75
$1,834.15
p90
$2,474.88
p95
$8,134.10
p99
$13,602.22

50% of providers bill between $1,289.49 and $1,834.15 per claim for this code.

90% bill between $1,243.47 and $2,474.88.

Top 1% bill above $13,602.22.

About This Procedure

HCPCS code Q5114 was billed by 12 providers across 3,072 claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 1,816 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,646.41

Providers Billing

12

National Spending

$5.1M

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5114

#ProviderTotal Paid
1Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.4M
21104856095$1.3M
31558575746$621K
4Swedish Health Services

Seattle, WA · General Acute Care Hospital

$463K
5Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$441K
61457409674$239K
7The Hospital Of Central Connecticut At New Britain General And Bradley

New Britain, CT · General Acute Care Hospital

$211K
81366197956$196K
9Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$165K
10Dayton Osteopathic Hospital

Dayton, OH · General Acute Care Hospital

$67K
111407813660$39K
12Hartford Hospital

Hartford, CT · General Acute Care Hospital

$29K

Showing top 12 of 12 providers billing this code