W0260
HCPCS Procedure Code
HCPCS code W0260 is the #1,695 most-billed Medicaid procedure code, with $16.0M in payments across 3K claims from 2018–2024. The national median cost per claim is $4,950.51.
Total Paid
$16.0M
0.00% of all spending
Total Claims
3K
Providers
16
Avg Cost/Claim
$5K
National Cost Distribution
How much do providers bill per claim for W0260? Based on 16 providers billing this code nationally.
Median
$4,950.51
Average
$4,919.55
Std Dev
$1,341.72
Max
$7,276.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $3,995.44 and $5,597.79 per claim for this code.
90% bill between $3,084.42 and $6,700.62.
Top 1% bill above $7,249.52.
About This Procedure
HCPCS code W0260 was billed by 16 providers across 3K claims, totaling $16.0M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4,950.51
Providers Billing
16
National Spending
$16.0M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for W0260
| # | Provider | Total Paid |
|---|---|---|
| 1 | Community Living Services Inc Fargo, ND · Community/Behavioral Health | $2.4M |
| 2 | 1811597867 | $2.2M |
| 3 | 1902404957 | $1.3M |
| 4 | Community Options For Residential And Employment Services, Inc Bismarck, ND · Counselor | $1.3M |
| 5 | 1982202677 | $1.2M |
| 6 | Open Door Center Valley City, ND · Community/Behavioral Health | $1.1M |
| 7 | 1497354799 | $1.1M |
| 8 | 1053912493 | $1.1M |
| 9 | 1619013430 | $1.0M |
| 10 | 1972101343 | $605K |
| 11 | 1700487915 | $598K |
| 12 | 1639507304 | $453K |
| 13 | 1407443245 | $440K |
| 14 | 1902404049 | $430K |
| 15 | 1629677463 | $407K |
| 16 | 1215442231 | $331K |
Showing top 16 of 16 providers billing this code