W7350
Waiver service, state-specific code
Waiver service, state-specific code is the #420 most-billed Medicaid procedure code, with $246.7M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $222.14.
Total Paid
$246.7M
0.02% of all spending
Total Claims
1.1M
Providers
89
Avg Cost/Claim
$216
National Cost Distribution
How much do providers bill per claim for W7350? Based on 88 providers billing this code nationally.
Median
$222.14
Average
$205.42
Std Dev
$50.81
Max
$259.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $202.74 and $237.40 per claim for this code.
90% bill between $116.96 and $248.11.
Top 1% bill above $259.34.
About This Procedure
HCPCS code W7350 (Waiver service, state-specific code) was billed by 89 providers across 1.1M claims, totaling $246.7M in Medicaid payments from 2018–2024. This code was used for 75K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$222.14
Providers Billing
88
National Spending
$246.7M
Avg/Median Ratio
0.92×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for W7350
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962961508 | $19.8M |
| 2 | 1457871311 | $18.9M |
| 3 | 1558881417 | $13.3M |
| 4 | 1538696869 | $12.3M |
| 5 | 1881756377 | $11.7M |
| 6 | 1235776618 | $11.0M |
| 7 | 1033631536 | $10.0M |
| 8 | 1265645493 | $9.3M |
| 9 | 1235893884 | $8.5M |
| 10 | 1194238782 | $7.3M |
| 11 | 1386171890 | $7.2M |
| 12 | 1821634098 | $7.1M |
| 13 | 1093235954 | $6.6M |
| 14 | 1912477704 | $6.1M |
| 15 | 1811386634 | $5.6M |
| 16 | 1982242277 | $5.3M |
| 17 | 1841829892 | $4.9M |
| 18 | 1902378714 | $4.8M |
| 19 | 1457933525 | $4.1M |
| 20 | 1437748845 | $4.0M |
Showing top 20 of 89 providers billing this code