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#420 of 11K

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)

p10
$116.96
p25
$202.74
Median
$222.14
p75
$237.40
p90
$248.11
p95
$254.39
p99
$259.34

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

#ProviderTotal Paid
11962961508$19.8M
21457871311$18.9M
31558881417$13.3M
41538696869$12.3M
51881756377$11.7M
61235776618$11.0M
71033631536$10.0M
81265645493$9.3M
91235893884$8.5M
101194238782$7.3M
111386171890$7.2M
121821634098$7.1M
131093235954$6.6M
141912477704$6.1M
151811386634$5.6M
161982242277$5.3M
171841829892$4.9M
181902378714$4.8M
191457933525$4.1M
201437748845$4.0M

Showing top 20 of 89 providers billing this code