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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871509489 | $4K |
| 2 | 1659319325 | $3K |
| 3 | Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | $464 |
| 4 | 1285186866 | $19 |
| 5 | 1154611648 | $0 |
| 6 | 1104818475 | $0 |
| 7 | 1811295041 | $0 |
Showing top 7 of 7 providers billing this code