11047
HCPCS Procedure Code
HCPCS code 11047 is the #4,189 most-billed Medicaid procedure code, with $770K in payments across 12K claims from 2018–2024. The national median cost per claim is $28.87. Costs vary widely — the 90th percentile is $112.71 per claim, 3.9× the median.
Total Paid
$770K
0.00% of all spending
Total Claims
12K
Providers
12
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 11047? Based on 11 providers billing this code nationally.
Median
$28.87
Average
$56.44
Std Dev
$68.88
Max
$231.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.70 and $77.48 per claim for this code.
90% bill between $2.79 and $112.71.
Top 1% bill above $219.79.
About This Procedure
HCPCS code 11047 was billed by 12 providers across 12K claims, totaling $770K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.87
Providers Billing
11
National Spending
$770K
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 11047
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1104018423 | $697K |
| 2 | 1083883938 | $35K |
| 3 | 1962403121 | $12K |
| 4 | 1326283151 | $12K |
| 5 | 1356640650 | $7K |
| 6 | 1437675980 | $3K |
| 7 | 1275764581 | $2K |
| 8 | 1174761373 | $1K |
| 9 | 1275948994 | $1K |
| 10 | 1508289638 | $491 |
| 11 | 1609318617 | $50 |
| 12 | 1063848968 | -$170 |
Showing top 12 of 12 providers billing this code