00811
HCPCS Procedure Code
HCPCS code 00811 is the #1,155 most-billed Medicaid procedure code, with $36.5M in payments across 579K claims from 2018–2024. The national median cost per claim is $56.15. Costs vary widely — the 90th percentile is $120.76 per claim, 2.2× the median.
Total Paid
$36.5M
0.00% of all spending
Total Claims
579K
Providers
1K
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for 00811? Based on 1K providers billing this code nationally.
Median
$56.15
Average
$70.86
Std Dev
$105.71
Max
$2,393.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.58 and $86.25 per claim for this code.
90% bill between $16.18 and $120.76.
Top 1% bill above $292.78.
About This Procedure
HCPCS code 00811 was billed by 1K providers across 579K claims, totaling $36.5M in Medicaid payments from 2018–2024. This code was used for 503K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.15
Providers Billing
1K
National Spending
$36.5M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00811
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962701458 | $2.7M |
| 2 | 1609804541 | $1.5M |
| 3 | 1508947441 | $1.5M |
| 4 | 1396131272 | $1.1M |
| 5 | 1316185390 | $651K |
| 6 | 1386971687 | $500K |
| 7 | 1588938682 | $414K |
| 8 | 1952497117 | $404K |
| 9 | 1972126209 | $384K |
| 10 | 1437537495 | $369K |
| 11 | 1891235404 | $369K |
| 12 | 1417994872 | $363K |
| 13 | 1871986372 | $363K |
| 14 | 1699710749 | $363K |
| 15 | 1033115415 | $359K |
| 16 | 1336258128 | $349K |
| 17 | 1982906079 | $349K |
| 18 | 1952392946 | $342K |
| 19 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $315K |
| 20 | 1912335803 | $315K |
Showing top 20 of 1K providers billing this code