W0720
HCPCS Procedure Code
HCPCS code W0720 is the #2,081 most-billed Medicaid procedure code, with $9.3M in payments across 49K claims from 2018–2024. The national median cost per claim is $175.78. Costs vary widely — the 90th percentile is $1,073.02 per claim, 6.1× the median.
Total Paid
$9.3M
0.00% of all spending
Total Claims
49K
Providers
11
Avg Cost/Claim
$189
National Cost Distribution
How much do providers bill per claim for W0720? Based on 11 providers billing this code nationally.
Median
$175.78
Average
$420.47
Std Dev
$503.74
Max
$1,669.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $130.68 and $415.81 per claim for this code.
90% bill between $121.99 and $1,073.02.
Top 1% bill above $1,610.11.
About This Procedure
HCPCS code W0720 was billed by 11 providers across 49K claims, totaling $9.3M in Medicaid payments from 2018–2024. This code was used for 7,548 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$175.78
Providers Billing
11
National Spending
$9.3M
Avg/Median Ratio
2.39×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for W0720
| # | Provider | Total Paid |
|---|---|---|
| 1 | Community Living Services Inc Fargo, ND · Community/Behavioral Health | $4.1M |
| 2 | 1972101343 | $1.5M |
| 3 | 1356453484 | $956K |
| 4 | Community Options For Residential And Employment Services, Inc Bismarck, ND · Counselor | $670K |
| 5 | 1629677463 | $603K |
| 6 | 1902404049 | $601K |
| 7 | 1700487915 | $480K |
| 8 | 1619013430 | $230K |
| 9 | 1902404957 | $162K |
| 10 | 1982202677 | $15K |
| 11 | 1811597867 | $13K |
Showing top 11 of 11 providers billing this code