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#7940 of 11K

W4211

HCPCS Procedure Code

HCPCS code W4211 is the #7,940 most-billed Medicaid procedure code, with $8K in payments across 4,158 claims from 2018–2024. The national median cost per claim is $1.09. Costs vary widely — the 90th percentile is $13.87 per claim, 12.7× the median.

Total Paid

$8K

0.00% of all spending

Total Claims

4,158

Providers

7

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for W4211? Based on 4 providers billing this code nationally.

Median

$1.09

Average

$5.32

Std Dev

$9.18

Max

$19.04

Percentile Distribution (Cost per Claim)

p10
$0.17
p25
$0.31
Median
$1.09
p75
$6.10
p90
$13.87
p95
$16.45
p99
$18.53

50% of providers bill between $0.31 and $6.10 per claim for this code.

90% bill between $0.17 and $13.87.

Top 1% bill above $18.53.

About This Procedure

HCPCS code W4211 was billed by 7 providers across 4,158 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 3,440 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.09

Providers Billing

4

National Spending

$8K

Avg/Median Ratio

4.88×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for W4211

#ProviderTotal Paid
11871509489$4K
21659319325$3K
3Palmetto Oxygen Llc

Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies

$464
41285186866$19
51154611648$0
61104818475$0
71811295041$0

Showing top 7 of 7 providers billing this code

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