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#7052 of 11K

1157F

HCPCS Procedure Code

HCPCS code 1157F is the #7,052 most-billed Medicaid procedure code, with $30K in payments across 735K claims from 2018–2024. The national median cost per claim is $0.34. Costs vary widely — the 90th percentile is $2.50 per claim, 7.4× the median.

Total Paid

$30K

0.00% of all spending

Total Claims

735K

Providers

984

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1157F? Based on 220 providers billing this code nationally.

Median

$0.34

Average

$0.96

Std Dev

$1.32

Max

$10.00

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.34
p75
$1.71
p90
$2.50
p95
$3.10
p99
$3.92

50% of providers bill between $0.01 and $1.71 per claim for this code.

90% bill between $0.00 and $2.50.

Top 1% bill above $3.92.

About This Procedure

HCPCS code 1157F was billed by 984 providers across 735K claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 625K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.34

Providers Billing

220

National Spending

$30K

Avg/Median Ratio

2.82×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1157F

#ProviderTotal Paid
11053679787$5K
21679672562$4K
31932214657$3K
41245385095$2K
51477754539$1K
61134419914$950
71336152347$903
81710959457$900
91861758831$761
101548393127$624
111215981618$448
121659478972$428
131215117759$350
141194959122$316
151932585270$299
16The Brookdale Hospital Medical Center

Brooklyn, NY · General Acute Care Hospital

$256
171710261284$240
181083691208$228
191124259379$228
201679734552$228

Showing top 20 of 984 providers billing this code