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#523 of 11K

W7370

Waiver service, not otherwise classified

Waiver service, not otherwise classified is the #523 most-billed Medicaid procedure code, with $166.6M in payments across 561K claims from 2018–2024. The national median cost per claim is $314.17.

Total Paid

$166.6M

0.02% of all spending

Total Claims

561K

Providers

37

Avg Cost/Claim

$297

National Cost Distribution

How much do providers bill per claim for W7370? Based on 23 providers billing this code nationally.

Median

$314.17

Average

$297.59

Std Dev

$82.79

Max

$384.07

Percentile Distribution (Cost per Claim)

p10
$249.68
p25
$298.47
Median
$314.17
p75
$330.76
p90
$363.98
p95
$372.65
p99
$381.76

50% of providers bill between $298.47 and $330.76 per claim for this code.

90% bill between $249.68 and $363.98.

Top 1% bill above $381.76.

About This Procedure

HCPCS code W7370 (Waiver service, not otherwise classified) was billed by 37 providers across 561K claims, totaling $166.6M in Medicaid payments from 2018–2024. This code was used for 57K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$314.17

Providers Billing

23

National Spending

$166.6M

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for W7370

#ProviderTotal Paid
11346776580$22.6M
21093235954$15.6M
31548797665$15.0M
41013286137$13.4M
51902333024$13.1M
61831626936$12.6M
71083007215$12.2M
81386171890$10.7M
91497276752$8.2M
101538696869$8.0M
111821634098$7.5M
121962939306$5.9M
131558881417$5.4M
141639606759$5.3M
151033653266$2.9M
161821525551$2.4M
171619403821$2.0M
181528598034$1.5M
191275115495$1.2M
201235776618$638K

Showing top 20 of 37 providers billing this code

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