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#721 of 11K

W0715

HCPCS Procedure Code

HCPCS code W0715 is the #721 most-billed Medicaid procedure code, with $96.0M in payments across 213K claims from 2018–2024. The national median cost per claim is $441.83.

Total Paid

$96.0M

0.01% of all spending

Total Claims

213K

Providers

25

Avg Cost/Claim

$452

National Cost Distribution

How much do providers bill per claim for W0715? Based on 25 providers billing this code nationally.

Median

$441.83

Average

$471.87

Std Dev

$104.86

Max

$688.84

Percentile Distribution (Cost per Claim)

p10
$343.90
p25
$412.63
Median
$441.83
p75
$540.26
p90
$603.29
p95
$635.03
p99
$676.45

50% of providers bill between $412.63 and $540.26 per claim for this code.

90% bill between $343.90 and $603.29.

Top 1% bill above $676.45.

About This Procedure

HCPCS code W0715 was billed by 25 providers across 213K claims, totaling $96.0M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$441.83

Providers Billing

25

National Spending

$96.0M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for W0715

#ProviderTotal Paid
1Community Options For Residential And Employment Services, Inc

Bismarck, ND · Counselor

$13.8M
21053912493$10.7M
3Community Living Services Inc

Fargo, ND · Community/Behavioral Health

$8.7M
41588261440$5.6M
51356453484$5.1M
61902404049$5.0M
71750542478$4.5M
81407443245$4.4M
91689271355$3.8M
10Open Door Center

Valley City, ND · Community/Behavioral Health

$3.6M
111619013430$3.6M
121811597867$3.2M
131215442231$3.0M
141679170179$2.6M
151700487915$2.6M
161295332559$2.3M
171427656560$2.1M
181629677463$1.8M
191679171235$1.7M
201972101343$1.6M

Showing top 20 of 25 providers billing this code