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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346776580 | $22.6M |
| 2 | 1093235954 | $15.6M |
| 3 | 1548797665 | $15.0M |
| 4 | 1013286137 | $13.4M |
| 5 | 1902333024 | $13.1M |
| 6 | 1831626936 | $12.6M |
| 7 | 1083007215 | $12.2M |
| 8 | 1386171890 | $10.7M |
| 9 | 1497276752 | $8.2M |
| 10 | 1538696869 | $8.0M |
| 11 | 1821634098 | $7.5M |
| 12 | 1962939306 | $5.9M |
| 13 | 1558881417 | $5.4M |
| 14 | 1639606759 | $5.3M |
| 15 | 1033653266 | $2.9M |
| 16 | 1821525551 | $2.4M |
| 17 | 1619403821 | $2.0M |
| 18 | 1528598034 | $1.5M |
| 19 | 1275115495 | $1.2M |
| 20 | 1235776618 | $638K |
Showing top 20 of 37 providers billing this code