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#2081 of 11K

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)

p10
$121.99
p25
$130.68
Median
$175.78
p75
$415.81
p90
$1,073.02
p95
$1,371.41
p99
$1,610.11

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

#ProviderTotal Paid
1Community Living Services Inc

Fargo, ND · Community/Behavioral Health

$4.1M
21972101343$1.5M
31356453484$956K
4Community Options For Residential And Employment Services, Inc

Bismarck, ND · Counselor

$670K
51629677463$603K
61902404049$601K
71700487915$480K
81619013430$230K
91902404957$162K
101982202677$15K
111811597867$13K

Showing top 11 of 11 providers billing this code