Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#882 of 11K

W1761

HCPCS Procedure Code

HCPCS code W1761 is the #882 most-billed Medicaid procedure code, with $63.4M in payments across 551K claims from 2018–2024. The national median cost per claim is $116.75.

Total Paid

$63.4M

0.01% of all spending

Total Claims

551K

Providers

110

Avg Cost/Claim

$115

National Cost Distribution

How much do providers bill per claim for W1761? Based on 106 providers billing this code nationally.

Median

$116.75

Average

$115.51

Std Dev

$15.06

Max

$145.76

Percentile Distribution (Cost per Claim)

p10
$101.20
p25
$111.27
Median
$116.75
p75
$121.23
p90
$132.61
p95
$136.63
p99
$144.01

50% of providers bill between $111.27 and $121.23 per claim for this code.

90% bill between $101.20 and $132.61.

Top 1% bill above $144.01.

About This Procedure

HCPCS code W1761 was billed by 110 providers across 551K claims, totaling $63.4M in Medicaid payments from 2018–2024. This code was used for 535K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$116.75

Providers Billing

106

National Spending

$63.4M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for W1761

#ProviderTotal Paid
11487059531$4.5M
21972021681$3.2M
31679556559$2.9M
41598099061$2.5M
51053492934$1.9M
61588769947$1.8M
71053801951$1.8M
81760610596$1.7M
91992152854$1.7M
101255312203$1.5M
111205359270$1.5M
121942519202$1.4M
131437316494$1.4M
141932386257$1.4M
151053511733$1.3M
161205257557$1.3M
171407177447$1.3M
181467676932$1.2M
191679807150$1.1M
201497102867$1.1M

Showing top 20 of 110 providers billing this code